Running head: Adam: MYOCARDIAL INFRACTION: NURSING CARE PLAN 1

Adam: Myocardial Infraction: Nursing Care Plan

Student Name

University Affiliation

Professor

Course

Date
 2

Adam: Myocardial Infraction: Nursing Care Plan

Assessme Diagnosis Planning Intervention Rationale Evaluation

nt
Subjectiv -Severe(chest) STG: INDEPENDEN 1. Discomfort is STG:
e: The -Pain r/t In 1 hour of T: an implication of In 1 hour of
patient Myocardial nursing 1. Evaluate MI. Helping the treating
reports Infarction intervention aspects of patient in intrusion,
chest emerging from s, the client chest quantifying the patient
pain, coronary artery will have discomfort, discomfort might had
indigestio occlusion with received incorporating distinguish pre- recovered
n, and deprivation/limita comfort in place, time, existing and relief in the
heartburn tion of blood the chest, as degree, force, prevailing ailment chest, as
(Adam, movement to a demonstrate presence of models as well as demonstrate
2015). region of the d by: radiation, determine d by:
myocardium and =Distinguis pressing and complexities(Nurs =Distinguis
disease of the hes a mitigating ing, 2007). hes a
Myocardium. reduction in agents, and as 2. This offers data reduction in
- The client was the degree linked signs that might assist the degree
also diagnosed of chest have patient in distinguishing of chest
with coronary discomfort. degree general discomfort
artery disorder =Can relax, discomfort on discomfort from (Adam,
and was admitted shows the measure of earlier difficulties 2015).
to the Coronary decreased 1-10 and record and complexities. =Can relax,
Care Unit (CCU) anxiety, and verdicts in 3. Respirations Shows
(Adam, 2015). rest easy. Nurse’s notes. might be decreased
=Necessitat 2. Get an developed as the anxiety and
es lessening account of outcome of doze easily.
analgesia or earlier cardiac discomfort and =Needs
Nitroglyceri discomfort and link concern. Lessening
n (Gulanick, familial 4. To reduce analgesia or
2021). understanding of oxygen usage and nitroglyceri
LTG: cardiac requirements, to n.
The patient problems. reduce competing The goal
will have an 3. Evaluate incentives, and was
Increased respirations, decreases tension attained.
sense of BP and heart (Nursing, 2007). LTG:
direction as rate with every 5. Pain The patient
demonstrate scene of chest administration is had an
d by discomfort. precedence, as it increased
verbalizing 4. Affirm bed shows ischemia. sense of
a feeling of rest while in 6. To reduce direction, as
direction pain, with a myocardial demonstrate
over current place of oxygen need and d by
condition relaxation; keep overworking on verbalizing
 3

and relaxing setting the heart. a feeling of

projected to increase 7. To enhance direction
results in composure. awareness and over current
two days of 5. Plan for the consent with the condition
treating treatment of curative regimen and
invasions. medicines, and and to mitigate prospect
observe worry of untold. outcomes in
rejoinder to 1. Serial ECG and two days of
medication stat treating
therapeutics. ECGs report intrusion.
Inform the differences that I would
doctor if the can provide a sign recommend
discomfort does of additional the patient
not stop. cardiac injury and stop
6. Direct the position of MI. smoking
client in 2. Morphine is the immediately
nitroglycerin SL medicine of and to
treatment selection to take his
following an handle MI blood
admission. disorder, but pressure
Teach the client additional medication
about exercise analgesics might every day,
changes and be utilized to as well as
restrictions. decrease continue
7. Direct discomfort, and The goal
client/relatives the heart's was met.
in medical overworking
outcomes, side- (Nursing, 2007).
effects, contra- 3. To check
indications, and Sympathetic
signs to stimulation
communicate. decreases heart
DEPENDENT: rate and reduces
1. Acquire a 12- myocardial need.
lead 4. To enhance
ECG on coronary
hospitalization, bloodstream and
then every guarantee flow
moment, chest which can reduce
discomfort discomfort
happens for because of
Proof of ischemia.
additional
infarction as
directed.
2. Give
 4

analgesics as
directed,
like morphine
sulfate,
meperidine of
Dilaudid N.
3. Give beta-
blockers as
directed.
4. Give calcium-
channel blockers
as directed.
N/B
Direct client to
get prescription
as instructed,
even though
feeling healthier
(Gulanick,
2021). Get
missed shots as
soon as
memorized,
except the
subsequent shot
is listed in 2
hours (6 hours
with prolonged-
release
arrangements).
Do not twofold
dosages. 
Do not
terminate
suddenly;
regular dose
decrease might
be essential to
counter recover
angina. 
Warn the client
to shift places
gently to reduce
orthostatic
hypotension.
The initial dose
 5

should be taken
while relaxing
or resting,
particularly in
senior clients. 
Notify the client
to discontinue
simultaneous
application of
liquor with this
medicine.
The client
should further
ask a health care
expert prior to
taking OTC
medicines while
using
nitroglycerin.
Notify the client
that headache is
a typical side-
effect that
should reduce
with proceeding
treatment. 
 Inform health
care experts if
the headache is
tenacious or
critical. 
Instruct client to
inform health
care expert if
dehydrated lips
or unclear
visualization
transpires.
Acute Anginal
Attacks: Encour
age the client to
rest down and
practice
prescription at
the initial
indication of an
 6

attack.
Remission
occurs typically
in 5 minutes
(Gulanick,
2021). The dose
might be
reissued if the
ache is not
calmed in five to
ten minutes,
inform a
wellbeing care
expert or visit
the nearby
urgent situation
room if angina
discomfort is
not calmed by
three pills in 15
minutes.

References

Adam. (2015). Myocardial Infraction.

Gulanick, M., & Myers, J. L. (2003). Nursing care plans: Nursing diagnosis and intervention.

Mosby.

Gulanick, M., & Myers, J. L. (2021). Nursing care plans - E-book: Nursing diagnosis and

intervention. Elsevier Health Sciences.

Nursing care plan for MI patients. (1982). Critical Care Nurse, 2(4), 78-

84. https://doi.org/10.4037/ccn1982.2.4.78

Nursing A; (2007). Post-MI patients donʼt maintain beta-blockers. Nursing Critical Care, 2(1),

24-25. https://doi.org/10.1097/01244666-200701000-00013
7