A study in Non-ST Elevation Myocardial infraction of 2 patients with multiple complications from medicine department at Suratthani hospital

Abstract

Acute ischemic heart disease with a non-elevated ST wave, if not treated properly and promptly, may be a life-threatening condition with many complications. Nurses are important in health care because they ensure the patients safe and No complications.

Objective: To investigate nursing care for patients with non-elevated ST wave ischemic heart disease who also have a co-disease.

Method: This study was designed as a descriptive study about case studies of NSTEMI patient in medicine department at Suratthani hospital on December 2019. Analysis comparative data based by health patterns of Gordon's method Nursing diagnosis in critical phase, continuous care and discharge planning phase.

Result: Two cases are different in 1) Personal factors at risk of disease include age, diet, smoking, underlying disease and sleeping behavior.2) signs and symptoms. 3) Complications while caring. 4) Dosing while receiving treatment. but they are same as 1) diagnosis as NSTEMI 2) Coronary Angiography intervention 3) Nursing diagnosis in critical phase, continuous care and discharge planning phase.

Conclusion: Non-ST Elevation Myocardial infraction with underlying disease patients will be severe and acute signs and symptoms. The nursing care closely, Able to assess symptoms and complex changes from the disease, Drug administration, laboratory results, Using and monitoring the ECG and plan to cover the nursing care according to the problems that arise at every stage of the rapid care. Help the patient to receive timely correction, it will make the patient safer. In discharge planning, the patient is emphasized on the risk factors of disease and behavior can be modified by giving relatives. Taking part will help to prevent and reduce the risk of recurrent myocardial ischemia infraction.