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Any signs of irregular heartbeat, sweating, nausea, and pallor should be noticed. Next, diagnostic evaluation is important in which the nurse should look for ST segment elevation or depression to decide if it is ST-elevation MI or non-ST elevation MI (Nursing Care Plans 2014).
ECG results and vital signs should be recorded. This is an important feature of nursing intervention for MI. Oxygen supplementation should be immediately started in case the patient is experiencing severe dyspnoea. ECG should be performed during acute pain attack also (Cardiac Care Network 2013). Fluid retention and high cholesterol levels can create a problem, so diet and lifestyle changes should be strictly maintained to reduce both fluid retention and cholesterol levels (Mok et al. 2013, p. 256). Before giving any medicine to the patient, the nurse should carefully evaluate if he/she is allergic to the medicine or not. Many MI patients can be allergic to aspirin in which case it should not be given. Statins should be given to reduce cholesterol level and ACE inhibitors should be administered to reduce blood pressure level. Beta-blockers should also be given to reduce workload of the heart, but care should be taken when giving beta-blockers in patients who have a very slow pulse (Kenny 2012b).
In context of ethical consideration, obtaining informed consent of the patient is critically important (Andreae, Ekstedt & Snellman 2011). Patient autonomy or respect for what a patient wants is also an important ethical consideration. Also in the care of MI patients, it should be ensured that resources are fairly distributed and no harm is provided to the patient due to carelessness. Elderly patients with MI often experience high levels of anxiety, but they are not provided psychological care. So, it is important for a nurse to ensure psychological help for very anxious patients (NHS 2007). Anxiety increases both heart rate and blood
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The author explains that there are many predisposing factors to the higher number of MI cases. Some of these factors can be controlled while others cannot. These factors are; age, gender, positive family history of MI, high blood pressure, obesity, high levels of cholesterol, lack of physical activity, diabetes, stress, hypertension.
Once these patients develop a serious infection, there is a good chance they will never recover from it, and so all precautions must be taken. Therefore, the responsibility falls onto their nursing staff to ensure they are kept safe from potential sources of infection as occur in medical procedures and in everyday interactions.
An imbalance in this predisposes the heart muscle to ischemia, which means reduced blood flow. The tissue death as a result of ischemia occurs because of two reasons, reduced oxygen supply and the decreased delivery of nutrients, both of which are brought in by the flow of blood though the heart muscle.
Let me share to you the intricate and sometimes controversial world of Accountancy. I mentioned intricate because in a corporate environment, the Accountant is the person responsible for handling and determining the financial position of a company; whether it is earning or losing or just breaking even.
However, lack of proper communication between nurses and doctors is common in hospitals. Sometimes nurses fail to converse with doctors about some patients’ information. This results into poor treatment of the patients because doctors depend on the nurses’ reports to make their final decisions regarding the patients’ treatments.
An organization should strive to eliminate communication barriers by use of multiple channels of communication that are accessible to all the stakeholders. There is a strong relationship between effective communication and effective leadership.
Among other notable bills and topical issues, she has been known to propose and support in her tenure in senate the ban of high capacity magazines in response to the tragedy where many children were shot in a classroom shoots out. Having had a previous experience in nursing profession of over thirty years, she has been an icon in politician medical practitioners in the history of the US having served as a representative in the congress for three terms and the form one being the current tenure.
Women in the US Military. Women have played a very important role in the military since the onset of the American revolution. Women have brought water to the soldiers, provided the soldiers with food and clothes, and also served as nurses. However, women were not formally included in the military until the Civil War.