Patient Hx
Medications
Txts/Procedures
NSTEMI
Nursing Diagnosis
100
The patient's medical diagnosis
What is an Acute NSTEMI?
100
Given to prevent platelet aggregation.
What is aspirin?
100
This was done and it was seen that she had cardiomegaly and aortic calcification.
What is a chest X-ray?
100
Unhealthy lifestyle, lack of activity, fatty foods.
What are risk factors to a clogged artery/NSTEMI?
100
The priority nursing diagnosis.
What is ineffective tissue perfusion?
200
Chest pain, SOB x1day, troponin 4.95, hypertension
What are her signs and symptoms?
200
Given to treat high cholesterol.
What is lipitor?
200
A procedure in which a catheter is inserted through the groin and it showed severe coronary artery disease.
What is a catheterization?
200
The build-up of fats, cholesterol, and other substances in and on the artery walls.
What is atherosclerosis?
200
Second priority diagnosis
What is excess fluid volume related to excess fluid intake?
300
High cholesterol, chronic heart failure, diabetes mellitus.
What is the patient's pertinent medical history?
300
A beta blocker given to control hypertension?
What is metoprolol?
300
A picture of the hearts veins and arteries, revealed left and right severe aortic stenosis.
What is an angiogram?
300
Blockage of blood flow to the heart causing a non-elevation of the S-T segment.
What is a NSTEMI?
300
Assess I/O, monitor for significant weight losses, monitor vital signs, assess for crackles in lungs and changes in respiratory patterns.
What are fluid overload interventions/management?
400
Beginning of shift pt had labored respirations and crackles throughout the L and R lungs, found to have fluid overload.
What is the patient's pulmonary assessment?
400
A calcium channel blocker given to manage HTN.
What is amlodipine (Norvasc)?
400
Until the CABG the pt will be on telemetry, provided oxygen, and pain medication.
What are the measures done to keep the patient comfortable?
400
Nurse, cardiologist, dietician, intensivist, physical therapist, health educator, and counselor.
What is the interdisciplinary team?
400
Monitor bp, use pulse ox, maintain adequate ventilation and perfusion by placing pt in semi- to high fowlers.
What are ineffective tissue perfusion interventions/management?
500
Death/dying.
What is the patient's fear?
500
An angiotensin II receptor antagonist given to manage HTN.
What is valsartan?
500
Medical management to best treat a clogged/occluded artery.
What is a CABG?
500
No smoking, ensure to maintain ideal body weight, control HTN, exercise, and take medications as prescribed.
What is lifestyle after a NSTEMI?
500
How the NSTEMI occurred, how to maintain a healthier lifestyle, signs and symptoms of decreased perfusion and of a heart attack
What are topics to educate the patient on?
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