Sample Care Plan on Myocardial Ischemia

by Leigh

Posted on Friday 27th of March 2009


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
http://caring4you.net/



Relared Aricles


What Type of Eyeglasses Should You Wear?

by Suzanne Hughes

Posted on Sunday 1st of March 2009

If you wondered through your dreamy eyes why your parents shouted at you for watching the TV

Read More

New Minimally Invasive Bunion Surgery - Established Techniques, New Technology

by David Redfern

Posted on Sunday 6th of September 2009

Bunions are a very common and often painful condition Medically known as hallux valgus, an estimated 33 per cent of women will develop bunions at some stage in their lives

Read More

College Grants For Single Mothers and Scholarships For Single Parents

by Alan C. Jones

Posted on Wednesday 20th of July 2011

If you are single parent and thinking of getting better future prospects, now is the time to apply for college grants for single mothers As a single mom, deservedly, do you want to give a much better ...

Read More

Gout: A New Treatment For an Old Disease

by Nathan Wei

Posted on Sunday 1st of March 2009

Gout is a form of arthritis due to the buildup of uric acid crystals in one or more joints Uric acid is a byproduct that is produced when certain foods containing purines are metabolized

Read More

Signs and Symptoms of Vaginal Yeast Infection

by Larry Do

Posted on Wednesday 25th of February 2009

One of the most common types of disease affecting women today is vaginal yeast infection, also known as Candidiasis This infection is caused by yeast-like fungus called Candida Albicans

Read More

Medical Supplies Savings

by Jordan FeRoss

Posted on Tuesday 12th of May 2009

It’s a fact that emergency room carts are one of the leading must have tools as they have been used numerous times to assist in the saving of lives at crucial moments when time was of the essence Ho...

Read More