Nursing

Acute Myocardial Infarction, What is the main cause of a myocardial infarction? What is the difference between a heart attack and a myocardial infarction? What are the 4 silent signs of a heart attack?

Myocardial infarction refers to a dynamic process by which one or more regions of myocardium experience prolonged decrease in oxygen supply because of insufficient coronary blood flow causing necrosis of tissue.

Causes

* Occlusion of a coronary artery

* Streneous physical activity

* Emotional stress such as anger

* Exposure to cold

* Thrombus formation

Signs & Symptoms

* Chest pain radiating to one or both arms, neck and back

* Dyspnea or orthopnea

* Shortness of breath

* Anxiety

* Systolic blood pressure less than 80 mm of Hg

* Tachycardia or bradycardia

* Weakness, cold, sweat, pallor

* Palpitation

* Peripheral cyanosis

* Nausea or vomiting

Investigations

* 12 lead ECG

* Echocardiography

* Trop-I

* serum CPK-MP and (CPK)

* Lipid Profile

* ESR

Management

Medical Management

* Nitrates – help to relieve pain

* Calcium channel blockers – prevents vasodilation

* Beta-blockers

* Morphine-act as analgesics and sedatives

* Oxygen supply

* Heparin therapy

* Antiplatelet therapy

Sugical Management

* Angioplasty

* CABG

Nursing Management

* Provide proper rest

* Assess for previous health history regarding allergic medications, trauma etc

* Reassure the patient

* Monitor the vital signs

* Administer thrombolytic therapy

* Administer oxygen as required

* Assess the characteristic of chest pain including location, duration, and quality.

* Maintain intake output chart

* Instruct to avoid alcohol, smoking and physical activity

* Educate the patient to change life style and rehabilitation

Complication

* Pulmonary embolism

* Pericarditis

* Shock

* Mitral incompetence

* Heart failure

* Rupture of the heart

* Phlebothrombosis

* Angina pectoris

Related posts

Encephalitis, brain inflammation or Swelling disease,Main cause of encephalitis, Symptoms of encephalitis, Symptoms of new born and infants

Admin

What is the Classification Of Food

Admin

Alcoholism, Alcohol Addiction, Signs and symptoms of Alcoholism, complications in alcoholism

Admin

Leave a Reply

%d bloggers like this: