Nursing care of Acute Myocardial Infarction : 2 Case Reports
Abstract
Nursing care of Acute Myocardial Infarction : cases reports were to study the treatment and nursing of STEMI patient in medicine department Phichit hospital.
Case I A Thai woman 69 years old presenting with epigastrium pain radiating to the neck 4 hours PTA with dyspnea, palpitation, nausea and increasing pain not relieving with rest for 1 hr.
Diagnosis STEMI
Treatment Streptokinase (SK) was given , she was admitted for 3 days and discharged with no complications.
Case II A Thai woman 51 years old presenting with chest pain radiating to left arm 1 hour PTA with dyspnea, ISDN (5) SL, but, not improve.
Diagnosis STEMI
Treatment on ETT, CPR, Defibrillation 360 jule, Dopamine, Dobutamine, 0.9% NaCl 50 cc/hr and Streptokinase (SK) were given. She was admitted for 5 days and then transfer for CABG.
Both patients come with chest pain which the symptoms didn’t improve with rest or sublingual medication according to myocardiac infarction sign. Both patients were treated rapidly and proper and there fore were resened form any life – threatening condition.
However 2nd patient was faced with cardiac arrest and cardiogenic shock which conditions as the most severe complications of MI. This could lead to high mortality rate. if the patients had not been care under the skillful nurses.
