A 55-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of acute myocardial infarction. He has a T wave inversion and elevation of the ST segment. The EKG indicates myocardial ischemia and necrosis. He is started on lidocaine hydrochloride by IV infusion. He is also given aspirin 325 mg PO, heparin subcutaneous 5,000 units bid, and atenolol (Tenormin) 50 mg PO daily. It should be noted the client received morphine 10 mg IV to relieve chest pain in the emergency room.
What assessments should be made prior to administration of these medications?
What information about the medications should be explained to the client?
For what adverse effects of the medications should the nurse be alert and assess?
Precautions, side effects and treatment plan of acute
myocardial infarction
A 55-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of...
A 42- year old male patient has been admitted to the unit with a diagnosis of coronary artery disease with a 75% blockage on one side. He is scheduled for angioplasty today. He has a history of depression and alcoholism but states he has not had a drink for 1 year. The heart monitor indicates increased premature ventricular contractions (PVC’s). The nurse notes a 30 second run of ventricular tachycardia and will initiate standing orders for a lidocaine infusion. Standing...
A 57-year-old man with a history of hypertension and unstable angina is admitted to the emergency room with severe, crushing chest pain. He was working in the yard when he began to have pain in his left arm with diaphoresis and nausea. He took three sublingual nitroglycerin tablets before asking his wife to call EMS. Why is nitroglycerin indicated for the relief of chest pain caused by myocardial ischemia? What instructions should be given to patients prescribed sublingual nitroglycerin? The...
A 42- year old male patient has been admitted to the unit with a diagnosis of coronary artery disease with a 75% blockage on one side. He is scheduled for angioplasty today. He has a history of depression and alcoholism but states he has not had a drink for 1 year. The heart monitor indicates increased premature ventricular contractions (PVC’s). The nurse notes a 30 second run of ventricular tachycardia and will initiate standing orders for a lidocaine infusion. Standing...
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours. Explain why Warfarin ( coumadin) was not used to treat this patient.
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours. Explain why warfarin (Coumadin) was not used to treat this patient.
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours Describe the contraindications that must be addressed prior to the administration of alteplase
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours Describe the contraindications that must be addressed prior to the administration of alteplase
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours. Describe the therapeutic action of each anticoagulant medication related to the prevention and destruction of a blood clot
Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours. Describe the therapeutic action of each anticoagulant medication related to the prevention and destruction of a blood clot
Assignment A 77-year-old man is admitted to the intensive care unit (ICU) from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when aroused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per...