Case study: Nursing care of patient ST-Segment Elevation Myocardial Infarction with Congestive heart failure

Abstract

     This study was case study with the objective to study the problem Nursing planning in patients with acute myocardial infarction and congestive heart failure. The study was conducted in a 65-year-old male patient who came to the accident and emergency room with symptoms of chest pain, sweating, and palpitations 1 hour before coming to the hospital. Have a history of high blood pressure, diabetes, and stroke. An electrocardiogram revealed ST elevation at V2-V4. A chest radiograph revealed pulmonary congestion in both lungs and pericardial effusion.

     The results of the study found that doctor diagnosed anterolateral wall ST-Segment Elevation Myocardial Infarction with Congestive heart failure. give treatment with stat Isordil (5 mg) 1 tab sublingual, ASA gr.V 1 tab oral, Clopidogrel (75 mg) 4 tab oral, keep vein open with o.9% NSS.  Injection of Morphine 3 mg, Lasix 40 mg, drip   Streptokinase 1.5 mu, and Admission to the medical ward because the intensive care unit is full. During admission from the first receive until discharge the patient received an important nursing care plan including suppressing seizures, increasing the blood supply to the brain, increasing blood circulation and oxygen supply to the cardiac muscle, increasing cardiac output, increasing the efficiency of gas exchange in alveoli,preventing harm and stopping bleeding from gastrointestinal bleeding. Reducing respiratory tract infection, maintaining the balance of potassium in the blood. Providing knowledge about self-care when going home. After the patient received nursing care according to the nursing care plan it was found that all problems were resolved. The doctor advises patients to be discharged to home.