Nursing Care for Acute Myocardial Infraction : Cases Report

Abstract

Background : Acute Myocardial Infarction is a critical and emergency condition. It is a disease caused by the coronary artery's blockage a major cause of death and a significant public health issue in Thailand and worldwide. Rapid coronary artery reperfusion can reduce the mortality rate of patients.

Objectives : To study and compare patients with Acute Myocardial Infarction in two case studies regarding causes, symptoms, clinical manifestations, as well as appropriate and prompt nursing care to help reduce mortality rates and complications.

Method : A specific case study of two patients conducted between October 2565 and September 2566.

Results : From the study of two cases of Acute Myocardial Infarction, the first patient, a 47-year-old female, presented with symptoms of chest tightness radiating to the head, shortness of breath, and cold sweats, 20 minutes before arriving at the hospital. She was treated with a coronary angiogram, which was successful in opening the blocked artery, and no complications occurred. Nursing care was provided according to the nursing diagnoses, and all four nursing diagnoses were effectively addressed. The second patient presented with symptoms of sublingual tightness, vomiting, and dizziness 16 hours before coming to the hospital. He received streptokinase for thrombolysis, with low blood pressure as a complication during the infusion. He was transferred to another hospital for further treatment, where a successful coronary artery angioplasty was performed, and no complications occurred. Nursing care was provided according to the nursing diagnoses, and all four nursing diagnoses were effectively addressed.

Conclusion : As a professional emergency nurse, it is crucial to have knowledge and understanding of the disease's pathophysiology, skills, and experience to make rapid decisions, manage specific problems, and provide appropriate nursing care When a patient has a life-threatening condition. Knowledge of medication management and vigilance for potential complications in patients are essential to prevent complications and improve survival rates.