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Medsurg 1

The document outlines the disorder Angina and Myocardial Infarction (MI), detailing its pathophysiology, assessment, and patient-centered care. It emphasizes the importance of health promotion, risk factors, diagnostic procedures, and medications involved in treatment. Additionally, it highlights safety considerations and potential complications associated with the condition.

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lyneekim
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23 views1 page

Medsurg 1

The document outlines the disorder Angina and Myocardial Infarction (MI), detailing its pathophysiology, assessment, and patient-centered care. It emphasizes the importance of health promotion, risk factors, diagnostic procedures, and medications involved in treatment. Additionally, it highlights safety considerations and potential complications associated with the condition.

Uploaded by

lyneekim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACTIVE LEARNING TEMPLATE: System Disorder

Namhyun Kim
STUDENT NAME______________________________________
Angina and MI
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER__31
__________

Alterations in Pathophysiology Related Health Promotion and


Health (Diagnosis) to Client Problem Disease Prevention
Blood flow to the heart is compromised and abrupt
Anginal pain (from interruption of oxygen - myocardial ischemia cause physical activity, low fat and sodium
chest pain and lead to tissue necrosis which is diet, regular check of cholesterol and
ischemia), pallor, SOB infarction if oxygen is not restored.. BP, smoking cessation

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
assess chest pain
Male, postmenopausal, HTN, Anxiety, impending doom, chest Q5-15min, then
tobacco, hyperlipidemia, obesity, DM, pain, radiant shoulder or jaw pain, when pain
hyperthyroidism, stress, sedentary, pallor, cool,clammy skin, n/v, LOC disappears Q1hr,
cardiac comorbidity with age tachycardia, SOB, diaphoresis respiratory
depression, control
BP and adequate
Laboratory Tests Diagnostic Procedures u/o, assess
contraindication of
Myoglobin (early marker), Creatine ST depression, T wave inversion, med (bleeding,
kinase-MB (chest pain), troponin I stress intolerance, thallium scan, stroke, mental
or T (+ = cardiac tissue damage) cardiac catheterization change, hematuria,
hold medication if
apical pulse less
60/min)

PATIENT-CENTERED CARE Complications


Nursing Care Medications Client Education Acute MI not
relieved by
Continuous ECG monitoring, Nitroglycerin, when anginal pain, stop activity
and rest, place nitroglycerin nitroglycerin, Heart
VS Q5 min then Q1hr, u/o Morphine sulfate
(respiratory tablet under tongue to dissolve, failure/Cardiogenic
hourly, O2 2-4 L/min, cardiac
enzymes and ABGs, BP depression if not relieved in 5 min, call 911 shock (40%
can take 2 more 5-min interval blockage, low u/o,
12/min less)
Metoprolol, hypotension, resp
Alteplase/reteplas distress), ischemic
Therapeutic Procedures e (thrombolytic), Interprofessional Care mitral regurgitation
Aspirin, (cardiac murmur),
percutaneous clopidogrel cardiac rehabilitation ventricular
transluminal coronary (antiplatelet), care , pain management, aneurysm/rupture
Heparin/ nutritional service low in (necrosis sudden
antioplasty, bypass graft
enoxaparin
(CABG) (anticoagulant)
sodium and saturated fat onset),
dysrhythmia

ACTIVE LEARNING TEMPLATES Therapeutic Procedure A11

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