Nursing Care Acute Pain Interventions Oxygen Vital Signs Sublingual NTG Remain

Nursing care acute pain interventions oxygen vital

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Nursing Care • Acute Pain Interventions Oxygen Vital Signs Sublingual NTG Remain with Patient Emotional Support
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Acute Coronary Syndromes • Caused by Lack of Oxygen to Heart Muscle • Conditions Unstable Angina Myocardial Infarction
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Unstable Angina • Worsening CAD • Rest Does Not Relieve • Can Occur at Rest • Increasing Frequency • Risk for Cardiac Damage/Death
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Myocardial Infarction (MI) • Death of Heart Muscle • Pathophysiology Coronary Artery Blockage Decreased Cardiac Blood Supply • Types Non-ST Segment Elevation Myocardial Infarction ST Segment Elevation Myocardial Infarction
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Myocardial Infarction (MI)
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Silent Ischemia Myocardial Ischemia Without Chest Pain
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Sudden Cardiac Death Cardiac Arrest Triggered by Lethal Ventricular Dysrhythmias or Asystole from an Abrupt Occlusion of a Coronary Artery
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Myocardial Infarction • Signs and Symptoms Crushing, Viselike Pain Radiates to Arm/Shoulder/Neck/Jaw Shortness of Breath Restlessness Dizziness, Fainting Nausea Sweating
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Myocardial Infarction • Signs and Symptoms (con’t) Atypical – Women/Older Adult Absence of Classic Pain Dyspnea Fatigue Anxiety Chest Cramping, Epigastric or Abdominal Pain Restlessness Falling
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Older Adults and MI • Report Shortness of Breath, Fatigue, Fast/Slow Heartbeats, Chest Discomfort • Silent MI • Collateral Circulation
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Timely Medical Care • “Act in Time to Heart Attack Signs” Call 9-1-1 (or Local Emergency Number) • National Heart Attack Alert Program “60 Minutes to Treatment”
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Women and MI • Leading Cause of Death • African American Women at Higher Risk • Higher Mortality Rate, More Complications Than Men • Prodromal Symptoms the Month Before MI Unusual Fatigue, Sleep Disturbances, Dyspnea
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  • Winter '17
  • infarction, coronary artery

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