Nursing Care of Patient Acute Myocardial Infarction : 3 Cases Study

Abstract

The  study  of nursing  care  of Acute myocardial infraction patients status post using the Thrombolytic Therapy as Streptokinase with system of Fast Track Mahasarakam Hospital  about 3  cases

                Objective  : To determine evaluated  and  cared  during  crisis   in Acute myocardial infraction  patients who had to receive the Thrombolytic Therapy under caring by expert physician and specialized nurse, and to assess the changes after receiving the medicine which would help the patients to recover from crisis safely or be transferred. 

                  Method : Choosed  3  cases to  study from Intensiive Care Unit (Medicine) Mahasarakam Hospital then corrected data  from assessed Patients  History, physical

Examination, laboratory and treatments from Doctor’s orders  sheet  and the others from observed, asked  professional nurse who had  cared them

                  Results :  Case 1 ^st      the patients came to the hospital with angina to occiput and left hand, shake, and sweating. These signs occurred before going to hospital about 30 minutes.  Physician’s diagnosis ST segment elevation MI (acute myocardial infarction, STEMI). The first patient got streptokinase, but still hypotension with cardiogenic shock and was referred to the Queen Sirikit Center of the Northeast.

                 Case 2 ^nd :   The patients came to the hospital with angina pectoris. These signs occurred before going to hospital about 2 hours.  Physician’s diagnosis ST segment elevation MI (acute myocardial infarction, STEMI).   The second  patient got streptokinase, but still hypotension  Patients were needed for treatment immediately after getting   streptokinase found that ST segment depress with hypotension intermittently. Moreover, the patient was under atrial fibrillation and referred to the Queen Sirikit Center of the Northeast.

                 Case 3 ^rd :   The third patient, came to the hospital with angina pectoris

 to occiput and left hand, shake, and sweating. Physician’s diagnosis ST segment elevation MI  (acute myocardial infarction, STEMI) .  The third  patient got streptokinase, she  had  improved  Physician’sdischarge and  follow up  two  weeks.

                  Almost 3 cases study the researcher  was  bringed  Orem’s  Theory  apply

About 11  Patterns’s Gordon to  nursing care  plan for us. Whereas, proper, high quality,

in time and continuoustreatment, sending patient to care highpotential treatment hospital shall help patient happiness, no have mutinied and adverse effect, and then goes back to home for living in usual.