This, in turn, causes mucus plugging, which leads to localized airway obstruction — a known cause of atelectasis. Horne English 1010 06-14-2011 Nursing Care Nursing has taking a big step now. Premium Essay Competent Nursing Care In America today we have a vast diversity in the ethnic, religious, nationality and sexual orientation of people. Breathe normally Complains of shortness of breath, oxygen saturation 88% on room air, heart rate 58 Words: 1996 - Pages: 8. Option B: Calcium channel blockers reduce the workload of the heart by decreasing the heart rate. Oral medication administration is a noninvasive, medical treatment for coronary artery disease.
If the patient does not feel a sensation when the tablet is put under the tongue or does not get a headache, the pills may have lost their potency. A patient with myocardial infarction that resolved with no permanent cardiac damage would not be a candidate. We introduce the Nursing Process and how to start thinking like a nurse. Assist client to quantify pain by comparing it to other experiences. Discuss family history if pertinent. Present information in varied learning formats, e.
This exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or constipation. In a hospitalized patient on prolonged bed rest, he most likely cause of sudden onset shortness of breath and chest pain is pulmonary embolism. Pathophysiology A temporary myocardial ischemia which is usually secondary coronary atherosclerosis. Conserves energy and enhances coping abilities. Attention span may be short, and repetition of information helps with retention. Smoke Smoking can stimulate the process of atherosclerosis due to a direct effect on the arterial wall, carbon monoxide causes arterial hypoxia, nicotine causes mobilization of catecholamines that cause platelet reaction, glycoprotein tobacco can cause hypersensitivity reactions arterial wall.
You note in the patient's chart that the patient recently had a myocardial infarction due to a blockage in the left coronary artery. The left ventricle is responsible for most of the cardiac output. Option C: Hourly urine outputs are not always required. Cardiogenic shock is a serious complication of myocardial infarction with a high mortality rate. Option D: Preload is the volume of blood in the ventricle at the end of diastole. Management on the other hand is controlling or directing people or resources in a group regarding the values that have already been established.
Be alert to signs of avoidance, e. The patient will most likely be placed on what other medication? A patient is experiencing Heparin-Induced Thrombocytopenia from heparin therapy. Tentative diagnosis is myocardial infarction involving the left ventricle. Conserves energy and enhances coping abilities. Note: beta-blockers may be contraindicated if myocardial contractility is severely impaired, because negative inotropic properties can further reduce contractility. Warn against isometric activity, Valsalva maneuver, and activities requiring arms positioned above head. .
What complication is this patient mostly likely suffering from? Disease process, treatment plan, and prognosis understood. X, a long-term resident, was the patient I had chosen. During the first three days that Mr. The patient will be taking Coreg. Educate patient regarding gradual resumption of activities, e.
Assist patient to quantify pain by comparing it to other experiences. Limits venous stasis, improves venous return, and reduces risk of thrombophlebitis in patient who is limited in activity. As well as high blood pressure which cause direct trauma to the coronary arteries, thus facilitating the occurrence of coronary atherosclerosis coronary factor. These problems may increase myocardial damage in presence of ventricular insufficiency. Monitor intake, note changes in urine output.
Options A and B: Lying flat and side-lying positions worsen the breathing and increase the workload of the heart. From time immemorial, women have been considered as the primary caregivers in family units. Instruct client to report pain immediately. This is to make sure that the patient privacy and confidentiality will be maintain at all times. Collaborative Administer supplemental oxygen by means of nasal cannula or face mask, as indicated. The 83-year-old patient has no complicating factors at the moment. An apical impulse located or auscultated below the fifth intercostal space or lateral to the midclavicular line may indicate left ventricular enlargement.