Myocardial Infarction: Nursing Management and Study Guide

Learn about the nursing care management of patients with myocardial infarction in this nursing study guide.

Myocardial infarction (MI), is used synonymously with coronary occlusion and heart attack, yet MI is the most preferred term as myocardial ischemia causes acute coronary syndrome (ACS) that can result in myocardial death.

In each case of MI, a profound imbalance exists between myocardial oxygen supply and demand.

Time is muscle; this is the reflection of the urgency of appropriate treatments to improve patient outcome.

The causes of MI primarily stems from the vascular system.

Some of the patients have prodromal symptoms or a previous diagnosis of CAD, but about half report no previous symptoms.

A healthy lifestyle could help prevent the development of MI.

The diagnosis of MI is generally based on the presenting symptoms.

The goals of medical management are to minimize myocardial damage, preserve myocardial function, and prevent complications.

The nursing management involved in MI is critical and systematic, and efficiency is needed to implement the care for a patient with MI.

One of the most important aspects of care of the patient with MI is the assessment.

Based on the clinical manifestations, history, and diagnostic assessment data, major nursing diagnoses may include.

Main Article:7 Myocardial Infarction (Heart Attack) Nursing Care Plans

To establish a plan of care, the focus should be on the following:

Nursing interventions should be anchored on the goals in the nursing care plan.

After the implementation of the interventions within the time specified, the nurse should check if:

The most effective way to increase the probability that the patient will implement a self-care regimen after discharge is to identify the patients priorities.

To ensure that every action documented is an action done, documentation must be secured. The following should be documented:

Lets reinforce what youve learned with this 5-item NCLEX practice quiz about Myocardial Infarction. Please visit our nursing test bank for more NCLEX practice questions.

1. Which of the following is the most common symptom of myocardial infarction (MI)?

A.Chest pain B.Dyspnea C.Edema D.Palpitations

2. An intravenous analgesic frequently administered to relieve chest pain associated with MI is:

A. Meperidine hydrochloride B. Hydromorphone hydrochloride C. Morphine sulfate D. Codeine sulfate

3. The classic ECG changes that occur with an MI include all of the following except:

A. An absent P wave B. An abnormal Q wave C. T-wave inversion D. ST segment elevation

4. Which of the following statements about myocardial infarction pain is incorrect?

A. It is relieved by rest and inactivity. B. It is substernal in location. C. It is sudden in onset and prolonged in duration. D. It is viselike and radiates to the shoulders and arms.

5. Myocardial cell damage can be reflected by high levels of cardiac enzymes. The cardiac-specific isoenzyme is:

A. Alkaline phosphatase B. Creatine kinase (CK-MB) C. Myoglobin D. Troponin

1. Answer: A. Chest pain

2. Answer: C. Morphine sulfate

3. Answer: A. An absent P wave

4. Answer: A. It is relieved by rest and inactivity.

5. Answer: B. Creatine kinase (CK-MB)

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Myocardial Infarction: Nursing Management and Study Guide