MYOCARDIAL INFARCTION

 Chest pain
 Diaphoresis, cool clammy skin
 Facial pallor
 Hyper/hypotension
 Brady/tachycardia
 PVC’s/PAC’s
 Dyspnea
 Severe anxiety
 Palpitations
 confusion
 Restlessness
 Confusion
 Disorientation
 Syncope
 Weakness
 Nausea
 Vomiting
 Hiccup
 Assess level of pain
 Administer analgesic
 Administer sublingual nitroglycerin
 Monitor effects and side effects of
medication
 Encourage deep breathing
 Nurse in semi fowler's position
 Administer ACE inhibitors and Beta Blockers
 Strict bed rest
 Stool softeners
 Sedatives
 Prescribed thrombolytics and antiplatelet
 Prepare for PTCA/PCI
 Elevate head of bed
 Deep breathing
 Oxygen via face mask
 Nitrates, ACE inhibitors, Beta blockers
 Thrombolytics and antiplatelets
 Prepare for PTCA/PCI
 Strict bedrest
 NPO
 SPO2 and ABG monitoring
 Adequate analgesia
 Administer prescribed oxygen
 Administer prescribed medications
 Continuous cardiac monitoring
 Monitor for signs of bleeding after
commencing hrombolytic and
antiplatelet/coagulant therapy
 Monitor P and BP
 Assess for signs of altered tissue perfusion
 Assess respiratory status frequently
 Maintain strict bed rest
 Alleviate anxiety Adhere to principles of
medical asepsis
 Strict aseptic technique for invasive
procedures
 Strict input and output monitoring and
recording