Patient X

50 yrs old

Myocardial Infarction

Nursing Care Plan

ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective
- Chest pain Acute chest pain related to After 4hrs of nursing  Administer oxygen - To balance the Goal met. After 4hrs of
Objective coronary artery occlusion. intervention, the client will therapy myocardial oxygen nursing intervention, the
- BP: 140/88 verbalize relief of chest supply. client verbalized relief of
- PR: 110bpm (sinus pain. chest pain.
tachycardia)
- Anxious  Administer - An analgesic drug to
- Diaphoretic medication as reduce pain and also
- Clenching fist prescribed (2 mg to dilate vein and to
against the center of morphine sulfate via reduce cardiac
chest IV) preload and after
load.

 Encourage physical - It helps to decrease

rest in bed with the chest discomfort and
head of the bed dyspnea.
elevated or in
supportive chair.
  Monitor vital signs - Elevated blood
especially blood pressure may
pressure and pulse. indicate cardiogenic
shock and irregular
pulse may indicate
atrial fibrillation.

 Monitor urinary - Decreased urinary

output. output may indicate
cardiogenic shock.

By: Krisianne Mae L. Francisco

BSN III - B (group B3)