Question

Please help

After we do SIMULATION for the patient with Acute Myocardial Infarction. Teacher want to fill out the debrief which the questions below

Please help to answer theses questions below

1. Upon assessment of this patient, what interventions did you employ or think about employing? Can you relate those assessment findings to your interventions?

2. Which of these interventions were priority assessments and actions/ can you describe these?

3. Can you describe the step by step process that should be applied to a patient experiencing cardiac arrest?

4. When did you consider oxygen therapy and ventilation and why? How did you evaluate its effectiveness?

5. Can you reflect on any ethical considerations that were involved in this case?

6. Can you reflect on the communication and safety involved with this scenario?

7. Can you identify any reason as to why certain aspects of this scenario were not carried out to the best of your ability and can you think of why that was?

8. If you had a chance to revisit this scenario, would you try something different? Why or why not?

9. Can you imagine how this scenario could be presented in another way and could you imagine your response?

Answer 1

1.

myocardial infarction is the condition where the loss of blood flow through coronary arteries results in cardiac muscle ischemia and necrosis leading to heart shut down.

While attending a patient with myocardial infarction, following assessments can be adapted-

Assessment related to acute pain- the assessment related to acute chest pain should be included

Monitor and document the characterstics of acute chest pain, restlessness, breathlessness and vital signs.

Interventions- provide calm enviornment, relaxation techniques, guided imagery, and administer medication as prescribed.

Identify patient's anxiety level and expression related to increased fear of death.

Note presence of hostility, withdrawal and denial of the patient and assess fear.

Intervention- orient patient to routine procedure and possible activities, interact well, calm the patient, and guide on breathing exercises.

Assess risk of decreased cardiac output, for this evaluate quality of pulse, and auscultate BP.

Limit caffeine intake, provide small meals and have emergency equipment available.

(please create individual order for every question)