How do you care for a MI patient?
How do you care for a MI patient?
Administer oxygen along with medication therapy to assist with relief of symptoms. Encourage bed rest with the back rest elevated to help decrease chest discomfort and dyspnea. Encourage changing of positions frequently to help keep fluid from pooling in the bases of the lungs.
What can you do for acute MI?
Beta blockers, glyceryl trinitrate and possibly ACE inhibitors work in this way. All patients with a suspected myocardial infarction should be given aspirin. It is a powerful antiplatelet drug, with a rapid effect, which reduces mortality by 20%. Aspirin, 150-300 mg, should be swallowed as early as possible.
What do I do if my patient has an MI?
Patients who are suspected of having an acute MI should be treated promptly. The AHA recommends that patients suspected of acute MI receive initial assessment and an EKG within 10 minutes of arrival to the emergency department.
What is the first intervention for a patient experiencing MI?
The first goal for healthcare professionals in management of acute myocardial infarction (MI) is to diagnose the condition in a very rapid manner. As a general rule, initial therapy for acute MI is directed toward restoration of perfusion as soon as possible to salvage as much of the jeopardized myocardium as possible.
What are the treatment goals of an MI?
The main goals of emergency department medical therapy are rapid intravenous thrombolysis and/or rapid referral for percutaneous coronary intervention (PCI), optimization of oxygenation, reduction of cardiac workload, and pain control.
What is MI protocol?
Emergency department acute MI protocol that yields a targeted clinical examination and a 12-lead ECG within 10 minutes and a door-to-needle time that is less than 30 minutes.
Which is the priority management of a patient with MI?
Although the immediate priority in managing acute myocardial infarction is thrombolysis and reperfusion of the myocardium, a variety of other drug therapies such as heparin, β-adrenoceptor blockers, magnesium and insulin might also be considered in the early hours.
What should I monitor after myocardial infarction?
Once hospitalized, the patient with acute MI should be continuously monitored by electrocardiography and the diagnosis of acute MI confirmed by serial ECGs and measurements of serum cardiac markers of myocyte necrosis, such as creatine kinase isoenzymes or cardiac specific troponin T or I.
What is the primary goal of patient teaching after a myocardial infarction?
After the initial management and stabilization of the patient in the early and critical phase of acute myocardial infarction (MI), the goals of care for these patients is to restore normal activities, prevent long-term complications, as well as aggressively modify lifestyle and risk factors.
What first actions should the nurse take after the patient has arrived in the emergency department?
Sudden illness or injury can occur without warning, and while no one typically plans a trip to the Emergency Department, everyone should know what to expect after they arrive….
- Step 1 – Triage.
- Step 2 – Registration.
- Step 3 – Treatment.
- Step 4 – Reevaluation.
- Step 5 – Discharge.
What are the nursing interventions for chest pain?
- Manage chest pain.
- Bed rest.
- Provide oxygen.
- Administer aspirin and nitroglycerin.
- Place patient with head of the bed elevated at 45 degrees.
- Make patient comfortable.
- Hook up to monitor.
- Check vitals.