Nursing care of acute myocardial infarction patients: Case study

Abstract

Acute myocardial infarction was an important cause of death in Thailand due to cardiovascular disease. It is a crisis that causes a sudden death of patient AMI is a life heart muscle is abruptly cut off, causing tissue damage. This is usually the result of the blockage in the one more of the coronary arteries, on MI can lead to a number of serious complications The key is to reperfuse the heart and restore blood flow. The early liner the treatment less than 6 hours from symptom onset the better the prognosis.

Objective: The purpose of the report was to study the prognosis treatment and nursing compose the differences of the patients with of acute myocardial infarction in a case study of the patient Research Method: Case study in two specific cases. All data are collected between June 2019 and August 2020 the study of 2 patients with acute myocardial infarction second that the first case 66 years old came in with the symptom.

Result: Case study of case 1 Thai male patient aged 66 years old came to the hospital with the system of smoking twenty years. The patient was given thrombolytic drug and further receive nursing care from problem list and successful reperfusion. Case study of case 2 Thai male patient aged 66 years olds came to the hospital with having tight chest and not refer pain 30 minutes before arriving at the hospital. He had a history of DLP with thirty years then the patient received both intravenous thrombolytic drug and nursing care from problem list and successful reperfusion

Conclusion: The patient care of crisis, acute myocardial infarction, nurse have an important role of evaluation and screening the patient currently and quickly when a patient arrived at the hospital. This makes the patient receive a current diagnosis and get a faster treatment with a thrombolytic drug. The nurse must have knowledge of drug management and always monitor abnormality that may occur in patient since they arrive at the hospital, unit transfer to another hospital. This treatment makes the patient survive more.