Definition:
MI occurs when ischemic intracellular changes become irreversible & necrosis results. Angina as a result of ischemic causes reversible cellular injury & infarction in the result of sustained ischemia causing irreversible cellular death.
Etiology:
- Active causes:
- Thrombosis
- Embolism
- Heart failure
- Mal-formation of aorta
- Passive causes:
- Smoking
- Hypertension
- Obesity
- Stress
Clinical features:
- Chest pain
- Nausea
- Vomiting
- Fever
- Hypertension
- Decrease urinary output
Complications:
- Arrythinias (abnormal wave)
- CCF
- Cardiogenic shock
- Papillary muscle dysfunction
- Ventricular aneurysm
- Pericarditis
- Right ventricular infarction
- Pulmonary embolism
- Dressler’s syndrome
Investigation:
- ECG
- Serum enzymes
- CBC
- Urine DR
Nursing management
- Ensure patent airway
- Administrator of oxygen inhalation
- Obtain 12 lead ECG
- Medicate for pain ad ordered
- Monitor vital signs, LOC and oxygen saturation
- Reassure patient
- Prepare for CPR
- Avoidance from alcohol and smoking
- Avoid from activity
- Just talk to your partner, express your feelings
- Avoid position of the sex that require you to support your support on arms for a long time
- Never take very hot or cold baths or shower before or after sex
- Have a sex in a pleasant, comfortable environment
- Hugging and touching are safe ways to get back in touch with your partner
- Lipids should be restricted and educate about nutrition.