Nursing Care of Acute Myocardial Infarction : 2 Case Study
Keywords:
คำสำคัญ : กล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน หัวใจเต้นผิดจังหวะAbstract
Nursing Care of Coronary Artery Disease: 2 Case Study
Chawarintra Yodsaeng, Kabinburi Hospital, Prachinburi Province, e-mail; taewcha@yahoo.com
Abstract
Acute Coronary Syndrome mean acute and severe ischemic heart. Death rate and complication can be high. If not treatment promptly. So, the patient must therefore receive it correct and quickly. Emergency nurses are very important role,critical care Triage Assessment nursing diagnosis nursing care treatment notify and coordination to refer.
Case Study 1 : Thai Women was 82 years old.Admitted to the hospital The symptom was chest pain, shortness of breath .Electrocardiography found that ST-Elevation at Lead II,III,AVF.The doctor diagnosis Inferior Wall Myocardial Infarction.The patient was sweat cold hand and foot rapid breathing.The doctor decide Intubation.The patient has received heparin.The doctor Consult the Cardiologist of Chaophaya Abhaibhubejhr, refer for Primary Percutaneous Coronary Intervention .Repeat EKG found ST-elevation at II,III,AVF and Ventricular Tachycardia rate 150-160 /min.The Doctor was done Synchronized Cardioversion 200 Joule.pulse reverse to normal rate and refer the patient to Chaophaya Abhaibhubejhr Hospital.
Case Study 2: 72 years old.30 minutes before to hospital.The symptom was chest pain and refer to neck sweat and cold.Electrocardiography found ST-Elevation at Lead II, III, AVF. The doctor diagnosis Inferior Wall Myocardial Infarction. The doctor consult Cardiologist to received anticoagulant and Streptokinase1.5 mu IV and and admit at ICU Kabinburi Hospital.The patient has complication that bleeding per gum.
The results of both studies found that Inferior Wall Myocardial Infarction.cared for according to treatment plan, nursing process.The patients has safety and was not complication.The patien has admitted in hospital and the one patient refer to high capability Hospital.
Keyword: Inferior Myocardial Infarction, Cardiac arrhythmia
References
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