Case Study Myocardial infaction – Pharmacology Nursing Process G.M. is a 50 year-old Caucasian male who presented to the emergency department with chest pain, after playing basketball with his son. He had no significant medical history before the event and was diagnosis with a myocardial infarction. He responded well to medical management and is set to be discharged today. Your assessment notes the following: • Vital signs BP 100/65, heart rate 72 bpm, respirations 28 bpm, and temperature 98.9°F. • Normal S1 and S2 heart sounds, electrocardiogram shows normal sinus rhythm with ST wave elevation. • Skin is warm, dry, with 1+ edema noted in ankles • Lungs sounds are clear • Complains of shortness of breath when walking 100 feet. O2 saturation 94% on room air. • Complains of mild chest pain after walking 100 feet, but it is relieved after sitting down. • Complains of dizziness when going from laying to sitting and from sitting to standing. Assignment: 1. List the Subjective and Objective assessment findings 2. List two nursing diagnosis with related to and as evident by statements (one diagnosis may be “at risk for”) 3. Write two planning or outcome goals for the patient in SMART (specific, measurable, achievable, realistic, and timely) for the patient. i. One must be a short-term goal: the first this to address. ii. The other is a long-term goal, before patient is discharged. He is going home on the following medications: • Aspirin 325 mg PO daily • Nitroglycerin 0.3 mg SL prn for chest pain that is not relieved after sitting down, may repeat x if chest pain not relieved after 15 minutes. • Atenolol 50 mg PO BID. Hold if systolic blood pressure less than 90 mmHg. Assignment: 4. Name two nursing interventions for all three medications (you may not repeat any interventions) 5. Name an assessment findings (one for each medication) that indicate the medication effectiveness. 6. What side effects could that patient experience for each medication 7. What adverse effects for each medication does the patient need to report? 8. Name five teaching points for each medication to communicate before the patient’s discharge
Ineffective Pain Management in Postoperative Patients
Ineffective Pain Management in Postoperative Patients Assignment Directions • Review this week’s lecture materials and assigned reading(s). • Complete this assignment. o Identify one (1) current workplace clinical problem impacting quality that you have: a) observed in a clinical rotation, b) witnessed in your work environment, or c) researched in the literature (e.g., nursing peer-reviewed […]
