![]() Monitor the patient’s respiratory status closely, assessing for signs of respiratory distress, such as shortness of breath, orthopnea (difficulty breathing when lying flat), or crackles in lung fields.Rationale: Prompt and adequate pain management is essential in myocardial infarction to relieve discomfort, reduce anxiety, and prevent complications such as increased sympathetic stimulation and decreased cardiac output. Assess the patient’s pain level using a validated pain scale and monitor its location, intensity, duration, and factors that aggravate or alleviate the pain.Rationale: These assessments help detect any cardiac complications and guide appropriate interventions. Monitor for signs of impaired cardiac output, such as changes in mentation, decreased urine output, and peripheral edema. Assess heart sounds, including the presence of abnormal sounds such as murmurs or gallops. Perform a thorough cardiac assessment to evaluate the patient’s heart function.Rationale: This assessment helps establish a baseline for ongoing monitoring and provides crucial information for immediate interventions. It also involves obtaining a detailed medical history, including risk factors for coronary artery disease, previous cardiac events, and current medications. This includes assessing the patient’s vital signs, pain level, oxygen saturation, cardiac rhythm, and respiratory status. ![]() Conduct a comprehensive initial assessment upon admission to gather baseline data.Collaborative care and discharge planning Nursing Assessment and Rationales of Myocardial Infarction.The chest pain should be assessed in combination of the other symptoms to determine a heart attack.
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