Nursing care in Acute ST elevation myocardial infarction

Abstract

Case study of a patient treated on Acute ST elevation myocardial infarction. Thai male, 70 years old. He came to the hospital with symptoms of chest pain score   6/10 shortness of breath,  palpitations as 30 minutes before to hospital. Electrocardiogram : ST elevate Lead II, III, AVF and V₃R, V₄R . His diagnosis was  Inferior wall and Right Ventricle  STEMI. The patient received treatment follow clinical practice guideline for Acute ST elevation myocardial infarction by thrombolytic drug. After treatment and monitoring wear performed until his clinical improved. Last diagnosis was  Inferior wall and Right Ventricle Acute STEMI.

The finding of Nursing care problem in this case were as a condition of serving risk of cardiac arrhythmia, risk of hypoxia during patient on thrombolytic drugs. The risk of pneumonia, and unable to perform daily activities. The patient fear and anxiety with his illness and depleted their knowledge to self care himself.

After providing nursing care and patient care without complications. The patient was transferred to Central Chest Institute of Thailand for Percutaneous Coronary intervention. Patients recovered from illness to normal condition. Doctors allowed to go home and the treatment in King Narai Hospital is 1 day and in Central Chest Institute of Thailand is 3 days.