Knowledgebase » Sample Care Plan on Myocardial Ischemia

Important Note : The following article may include links to other sites and may open a new window to cater them. Please feel free to read and explore the Source links and Useful links.

Sample Care Plan on Myocardial Ischemia

[ 3667 Views ]
Posted by : Leigh

Stressor: Myocardial Ischemia

Adaptation: Hypertension and chest pain.

NX DX: Myocardial infarction: High risk related to severe, prolonged myocardial ishemia as manifested by a past hx of MI, hx of hypertension, unstable angina and episodes of severe chest pain.

Goals:
STG: Pt. will experience a resolution of chest pain, upon occurrence within 15 minutes during the length of hospital stay starting 3/6/96

LTG Pt. will show no signs of cardiac arrhythmias as evidenced by AP at 60-100 bpm, systolic BP being less than 140 and EKG showing normal sinus rhythm by end of hopital stay on 3/7/96.

NX INTERVENTIONS:

NI #1: Nurse will assess pt. for chest pain noting the severity, duration, activity that brought pain on and how it was relieved PRN and each shift starting 3/6/96 .................... Anneliese Garrison,NS

Scientific Rationale: Any blockage of the coranary arterial circulation can be serious. According to my pt.'s chest x-ray, mild calcification of the aortic arch was present. This is giving rise to an impairment of blood flow to the heart causing him to have angina. Anginina is chest pain caused by fleeting, deficient blood delivery that may result from stress-induced spasms of the coronary arteries or increased physical demands on the heart. The myocardial cells are weakened by a temporary lack of oxygen, but they do not die. Far more serious is a prolonged coronary blockage resulting from an occluding blood clot or severe atherosclerosis. My pt. is putting himself at risk for developing artherosclerosis. His lab data showed a cholesterol level of 217 and a triglyceride level of 463. If this should continue, the ischemic cardiac cells will die, forming an infarct. The resulting myocardial infarction is commonly referred to as a heart attack or a coronary. Because the adult cardiac muscle is amitotic, any areas of cell death are repaired with noncontractile scar tissue. Thus decreasing the amount of oxygen delievered to the heart. So, whether or not a person survives a MI, depends on the extent of cell death and on the location of the damage.


  Source link (see full details) :

http://caring4you.net/careplan.html



  Useful links :

http://caring4you.net/careplan.html
http://caring4you.net/


Related Articles

 50 Item Psychiatric Nursing Exam I

Online practice Psychiatric Nursing Exam....[Read More]

 NCLEX Rationale Explained

Perhaps I can explain how Computerized Adaptive Testing for the NCLEX works. The goal of Computerized Adaptive Testing or CAT, is to determine your competence, based on the difficulty of questions you...[Read More]

 Sample Care Plan on Myocardial Ischemia

Stressor: Myocardial Ischemia

Adaptation: Hypertension and chest pain.

NX DX: Myocardial infarction: High risk related to severe, prolonged myocardial ishemia as manifested by a ...[Read More]

 Anaphysio Presentation

Anatomy & Physiology SlidesView SlideShare presentation or Upload your own. (tags: nursing lectures)...[Read More]

 Study tips - Studying for Aptitude Tests

Aptitude tests come in several varieties, from the tests used to gain entry into a college or university to tests used to screen job applicants. Unlike an achievement test, an aptitude test does not ...[Read More]

 NCLEX: Pharmacology Practice Test

Sample Parmacology Practice Test...[Read More]

 NCLEX COMMON QUESTIONS PART 1 PRACTICE EXAM

NCLEX COMMON QUESTIONS PART 1 PRACTICE EXAM

Follow source links to view this sample questions...[Read More]

 Pharmacology Math

Nurses must perform dosage calculations when administering medications and intravenous fluids. Pharmacology math requires the nurse to know systems of measurement (metric, household, apothecary, and ...[Read More]

 StuffedNurse : PSYCHIATRIC EXAM PRACTICE TEST

1. The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:

a. delusions.
b. hallucinations.
c. loose a...[Read More]

 MEDICAL SURGICAL BOARD EXAM REVIEWER

A useful practice exam from Stuffed Nurse

answers are the first ones after the questions

Source : Smeltzer and Bare/ Brunner and Suddarth CD

1.
According to Maslo...[Read More]

 Working With Time Limits ( During Exam )

Every exam has a time limit. The time limit may be a strictly imposed amount of time, or it may be the length of your class. For example, classroom exams may be limited to one hour, while placement ...[Read More]

 Pediatric Nursing FAQ

How does one become a pediatric nurse?

On the Job Training
The easiest way to become a pediatric nurse is to apply to work in a site that serves pediatric patients and receive your spe...[Read More]

 Anxiety Panic Attack Relief: Learn How to Manage Anxiety Panic Attack

Anxiety is a common emotion like happiness, sadness and anger, however when anxiety becomes uncontrollable or excessive, it becomes a problem or disorder. Anxiety becomes uncomfortable when coupled wi...[Read More]

 Science Inside : Diabetes

The Science Inside: Diabetes

http://www.healthlit.org/pdfs/DiabetesBook8x.pdf...[Read More]

 SAMPLE NCLEX Question from www.nclex-pass.com

14 Items questionnaire from www.nclex-pass.com click here to view exams....[Read More]