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Short note on myocordial infarction
Short note on myocordial infarction
Short note on myocordial infarction
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Goals and Objectives for Acute Myocardial Infarction In order to know what myocardial infarction is, it is important to know when to diagnose the condition and to do it as soon as possible. It is vital to be able to know the sign and symptoms for a myocardial infarction and how to treat them to prevent any further damage to the myocardium. Since damage can occur to the myocardium, heart muscle, one of the goals is to save as much of the heart muscle as possible through procedures to be able to open up the blood vessels to make sure blood is traveling to the heart and heart muscles like a percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery.
Overview of the Disease An acute myocardial infarction also known
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During his first day and second day at the hospital he seemed to be cooperative.
Integumentary – when the paramedics first saw him he was pale and sweating
Pathophysiology of the
The primary concern for Mr. Miller would be preventing further ischemia and necrosis of the myocardial tissues, preventing serious complications such as cardiac dysrhythmias and heart failure, as well as relieving his chest pain that radiates to his left arm. Preventing further ischemia and necrosis of the myocardial tissue will help prevent the development of heart failure due to myocardial infarction, whereas relieving his pain will help reduce his episodes of shortness of breath, and will also help to reduce any anxiety and restlessness he may be having from being in pain and short of breath.
He stayed at the hospital until close to ten o’clock PM before returning home to his wife and eight-year-old daughter, Jessie.
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
This assignment is a case study that aims to explore the biospychosocial impacts of a myocardial infarction on a service user. It will focus on the interventions used by healthcare professionals throughout the patient’s journey to recovery. To abide by the NMC’s code of conduct (2015) which states that all nurses owe a duty of confidentiality to all those who are receiving care, the service user used in this case study will be referred to as Julie. Julie is a 67 year old lady who was rushed to her local accident and emergency following an episode of acute chest pain and was suspected to have suffered from a myocardial infarction. Julie who lives alone reported she had been experiencing shortness of breath and
He was an outpatient, who arrived at 8 am to get ready for his surgery. Feeling I was ecstatic and enthusiastic to get back into the field of work to do my clinical rotations. Although I was ready to have a new experience at the recovery unit, I was also extremely scared, because this unit was a specialized unit, where the patient needs vital care while recovering from anesthesia.
relaxed and indicated that she had no pain prior to her discharge to the ward.
A heart attack (myocardial infarction) is the death of heart muscle due to the loss of blood supply. Usually, the loss of blood supply is caused by a complete blockage of a coronary artery by a blood clot. A coronary artery is an artery that supplies blood to the heart muscle. Death of the heart muscle causes chest pain and electrical instability of the heart muscle tissue. Electrical instability of the heart causes ventricular fibrillation (chaotic electrical disturbance). Orderly transmission of electrical signals in the heart is important for the regular beating (pumping) of the heart. A heart undergoing ventricular fibrillation quivers, and can not pump or deliver oxygenated blood to the brain. Permanent brain damage and death can occur unless oxygenated blood flow is restored within five minutes.
One of the leading causes of death in the United States is heart disease. “Approximately every 29 seconds one American will have a heart attack, and once a minute one American will die from a heart attack” (Ford-Martin and Odle, 915). According to the Gale Encyclopedia of Alternative Medicine men over the age of 45 and women over the age of 55 are considered at risk for heart disease. Heart disease is a major cause of death. It is beneficial to individuals who seek to prevent heart disease to recognize the risks leading to heart attacks as they are one of the primary indications of developing heart disease; especially those that fall into the at risk age groups. These risks consist of some that cannot be changed such as heredity risks, or those that can change such as smoking habits. It is very important to know these specific risks for prevention and to understand the symptoms of heart attacks, such as sweating or the feeling of weakness so if these or other symptoms occur people are aware. Finally heart disease treatment is of vital importance if you experience a heart attack so you can learn how to prevent another one from occurring.
...ital if you have symptoms such as dizziness, fatigue, chest pain, or heartburn it is essential that you get to a hospital immediately, just to make sure that you can get the treatment that you need so you and your family do not have to experience a myocardial infraction. Even though coronary artery disease usually affects persons over age 60, the disease can still be seen in people who are much younger for various reasons. The diagnosis of coronary artery disease remains the number one cause of hospitalization and death in the adult population in the United States today, but with the proper treatments, knowing the risk factors of coronary artery disease and medical technology such as stents, coronary endocartomy, and coronary bypass grafting that we have available to us today the prognosis can be positive for many patients and will save more lives than not knowing.
Oxygen was first admitted to the client with chest pain over 100 years ago (Metcalfe, 2011). Chest pain is a large bracket that can contain many different conditions, but for the purpose of this analysis it is focused manly upon a myocardial infarction. A myocardial infarction is mainly referred to as a heart attack, and occurs when one or more coronary arteries leading to the heart reduce or completely stop blood flow (Tuipulotu, 2013 ). Administering high concentrations of oxygen to patients with chest pain is now embedded in guidelines, protocols and care pathways, even with a lack of clear supporting evidence (Nicholson, 2004 ). High concentration of oxygen means that up to 60% is administered (Knott, 2012). More recent research has suggested that the use of oxygen in this scenario is unnecessary and can lead to unwanted side effects, especially in normoxic cardiac patients (Moradkham & Sinoway, 2010 ). The aim of this comparative analysis is to dismantle and understand both the benefits and risks of the commonly known practice of administration of oxygen to the client with chest pain. Through completing this analysis using recent and appropriate evidence a more improved practice can be given and understood.
He is admitted to the ward with the chief complain of pain at right lower quadrant of the abdomen for 8 hours prior to his admission.
Deaths have decreased over the past few years, but still many people die on a frequent basis of heart attack. Many victims of these diseases die even before they reach the hospital and many others die in the hospital. Conclusions After doing all my readings, I have reached the conclusion, that as many doctors say, the best way to avoid a heart attack is by taking the necessary precautions to prevent it. Regular check-ups, a balanced diet, and exercise can decrease the risk of suffering a heart attack or any type of disease. Many people survive, but others do not have the same luck and die.
The first few days were the most difficult, and he spent most of the time in his bed because even on TV there was food which made him want to stay away from any chance of coming in contact with
The ischemic heart disease (IHD), also known as coronary heart disease (CHD), occurs when the supply of the blood to the heart is interrupted due to the blockage of the coronary artery (Cooley, 2014). CHD is the most common type of heart disease and the leading cause of death in the United States (CDC, 2015) but what happens exactly in the IHD’s disease process? Anwar Jasib Thaaban (2015) stated that the inflammation and the oxidative stress might contribute to the pathology of the IHD. Oxidative stress occurs when there is an overproduction of the reactive oxygen species (ROS), which impairs the anti-oxidant defense system (Anwar Jasib Thaaban, 2015). It is fascinating to know how the IHD and polyphenols are interrelated. Polyphenols that
I am comparing the information given about Heart attack (Acute myocardial infarction) on two websites Web MD and The U.S. National Library of Medicine. Web MD is aimed more to cater to the general public with limited knowledge basic, this website allows you to view information at a level at which most people regardless of their age would be able to comprehend. I do feel the information presented on this website might be a challenge for someone with limited education or who doesn’t have at least eighth grade reading skills. The secondary audience for Web MD might be a healthcare professional looking for a quick limited resource. One of the persuasive strategies use to appeal to their primary audience are pictures and content organization in