Nursing Care of Acute Myocardial Infarction Patients : 2 Case Studies

Abstract

Objective: To study nursing care of 2 patients with acute myocardial infarction who present to emergency room, Kantharawichai Hospital, Mahasarakham Province.

Methods: This descriptive study compare two patients with acute myocardial infarction who present to emergency room, Kantharawichai Hospital via STEMI FAST TRACK BY PASS between 1 October 2022 - 30 September 2023. Data was collected using medical record form, Gordon's functional health pattern assessment form, interview, observation. Nursing process: assessment, nursing diagnosis, planning, implementation, and evaluation according to the Guidelines of the American Nursing Diagnostic Society was perform

Result : Both case studies have a difference of signs and symptoms: chest tightness, cold sweat.The different is that the 1^st one has chest tightness which spread from chest to scapula.

The second one has gastrointestinal symptoms. Both case studies had different health problem perception. The 1^st one perceived that his condition was severe but the 2^nd person perceived that the illness was mild due to the symptoms similar to his underlying disease symptoms diabetes, hypertension and dyslipidemia. In term of other complication during treatment, there were different symptoms. The first one having Ventricular Fibrillation with Defibrillations and Cardio Pulmonary Resuscitation after receiving the drug, the second had hypotension bradycardia and bleeding per gums .Two case patients were referred to be treated Queen Sirikit Heart Center of The Northeast.

Conclusion :  The most important of nursing care of acute myocardial infarction  patients,

Nurses who working at emergency room that care for acute myocardial infarction patients must have knowledge, skills and experience in terms of screening for patients to identify acute myocardial infarction, provide nursing care, consult for specialist doctor and monitor complications while patients receive treatment and during referrals as their conditions will change at any time reduce the risk of death, as well as being able to provide psychological support to patients and relatives.