Topic: Myocardial Infarction

Diagnosis Objective Intervention Rationale Evaluation

Acute pain related 1. Patient verbalizes 1. Assess the To monitor the 1. The goal is
to tissue ischemia relief of chest patient’s effectiveness of the met. Patient
secondary to pain after pain using medications for the verbalized
myocardial administration of numerical pain relief of angina relief of chest
infarction medication after scale at least pain after
24 hours of 30 minutes after administration
hospitalization administration of of
medications (I.I) medication
2. Patient able to after
demonstrate the 24 hours of
relaxation 2. Monitor the vital To detect any
techniques to signs of the abnormalities that hospitalization
cope up the pain patient such as can lead to serious
after a week of blood pressure, health
hospitalization heart rate and complications to 2. The goal is
oxygen saturation the patient as met. Patient
level (I.I) tachycardia and demonstrated
low blood pressure the relaxation
are early techniques to
symptoms of cope up the
myocardial pain after a
infarction week of

hospitalization
3. Position the To facilitate and
patient into enhance the
cardiac if reported breathing of the
of having patient as cardiac
shortness of position promotes
breath (I.I) better lung
expansion during
breathing

4. Place patient in a To ensure that

calm and quiet patient is
environment (I.I) comfortable as
loud noises can
aggravate patient’s
anxiety and cardiac
strain

5. Provide Relaxation
education techniques can
to the education reduce patient’s
 on relaxation stress where stress
techniques and can increase the
deep breathing cortisol level which
exercises (I.I) can lead to cardiac
illness and deep
breathing exercise
provides adequate
oxygen to the heart
muscles

To reduce the risks

of heart failure
6. Advise the patient which may lead to
to slowly stop death
smoking and
avoid consuming
alcohol (I.I)

Analgesics such as
morphine and
7. Administer beta-blockers such
medications such as metoprolol
as analgesics and helps the patient to
beta-blockers to control the pain
the patient (D.I)

To increase the
amount of oxygen
8. Administer to the patient for
oxygen therapy to myocardial uptake
the patient via to relieve the
nasal prongs and discomfort with
Facemask as tissue ischemia
prescribed by the
doctor (D.I)
Topic: Myocardial Infarction

Diagnosis Objective Intervention Rationale Evaluation

Risk for 1. Patient able to 1. Assess the To detect any 1. The goal is
decreased demonstrate patient’s abnormalities that met. Patient
cardiac output adequate cardiac vital signs such as can lead to serious demonstrated
related to output evidenced heart rate and health adequate
myocardial by blood blood pressure (I.I) complications to the cardiac
infarction pressure, heart patient where output
rate and pulse tachycardia and low evidenced
rate is are in blood pressure are by blood
normal range early symptoms of pressure,
decreased cardiac heart
2. Patient able to output rate and
explain the pulse
actions and rate is are in
precautions to be 2. Assess the skin Patient with risk for normal range
taken in order to color of the patient decreased cardiac
prevent the (I.I) output will have
worsening of cold, clammy and 2. The goal is
cardiac pale skin due to met. Patient
malfunction cardiogenic shock explained the
as the heart fails to actions and
pump oxygen-rich precautions to
blood to other parts be
of the body taken in order
to
prevent the
3. Monitor the Patient with risk for worsening of
laboratory tests decreased cardiac cardiac
such as full blood output will have low malfunction
count, sodium serum sodium level
level, and serum due to the increase
creatinine. (I.I) in antidiuretic
hormone to
reabsorb more
water and also high
serum creatinine
level because of
decreased
perfusion to the
kidney

4. Monitor closely on To reduce the

the patient's fluid workload of the
intake including heart as patient with
 intravenous lines risk for decreased
and maintain fluid cardiac output will
restriction if ordered have poorly
by doctor functioning
(I.I) ventricles which
cannot tolerate
increased fluid
intake

5. Position the patient To maintain

in Semi or High adequate ventilation
Fowler’s position and perfusion
(I.I) where upright
position can reduce
preload and
promote ventricular
filling during fluid
overload

6. Provide education
to the education
on relaxation To ensure that
techniques and patient is
Music therapy (I.I) comfortable and
reduce anxiety
which can aid to
maintain normal
heart rate, pulse
rate, blood pressure
and cardiac
complications
7. Advise the patient
to slowly stop
smoking and avoid To reduce the risks
consuming alcohol of heart failure
(I.I) which may lead to
death

8. Administer
medications such
as ACE inhibitors To treat decreased
and cardiac output and
antidysrhythmics prevent abnormal
as prescribed by cardiac rhythms
the doctor (D.I)