Patient X
50 yrs old
Myocardial Infarction
Nursing Care Plan
ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION
Subjective
- Chest pain Acute chest pain related to After 4hrs of nursing Administer oxygen - To balance the Goal met. After 4hrs of
Objective coronary artery occlusion. intervention, the client will therapy myocardial oxygen nursing intervention, the
- BP: 140/88 verbalize relief of chest supply. client verbalized relief of
- PR: 110bpm (sinus pain. chest pain.
tachycardia)
- Anxious Administer - An analgesic drug to
- Diaphoretic medication as reduce pain and also
- Clenching fist prescribed (2 mg to dilate vein and to
against the center of morphine sulfate via reduce cardiac
chest IV) preload and after
load.
Encourage physical - It helps to decrease
rest in bed with the chest discomfort and
head of the bed dyspnea.
elevated or in
supportive chair.
Monitor vital signs - Elevated blood
especially blood pressure may
pressure and pulse. indicate cardiogenic
shock and irregular
pulse may indicate
atrial fibrillation.
Monitor urinary - Decreased urinary
output. output may indicate
cardiogenic shock.
By: Krisianne Mae L. Francisco
BSN III - B (group B3)