Mixed shock in patients with acute myocardial infarction: Nursing interventions

2021 ◽  
Author(s):  
S. Martínez Font ◽  
G. López Domènech ◽  
S. Juan Esgleas ◽  
C. Ruiz Falqués ◽  
M. Soler Selva
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Nursing Interventions

scholarly journals The importance of GRACE score in health care planning of patients after acute myocardial infarction

2021 ◽  
Vol 24 (82) ◽  
pp. 34-38
Author(s):  
Marina Đorđević ◽  
Jelica Davidović ◽  
Radmila Resimić ◽  
Dijana Otašević ◽  
Nataša Marković-Nikolić ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Health Care ◽  
Acute Myocardial Infarction ◽  
Patient Care ◽  
Adverse Outcomes ◽  
Nursing Interventions ◽  
Care Planning ◽  
Care Assessment ◽  
Grace Score

Introduction: Acute myocardial infarction (AIM) is ischemic myocardial necrosis and is associated with a number of adverse outcomes that complicate patient health care. Assessment of patient status, risk factors, and adverse outcomes has a significant impact on patient care planning after AIM. The GRACE (Global Registry of Acute Coronary Events) score is of great importance in risk stratification in these patients. Objective: To determine the importance of determining the GRACE score in order to set priorities in the planning of patient care after acute myocardial infarction. Method: A retrospective study examined 50 patients, both sexes, aged 28 to 75 years, with a diagnosis of acute myocardial infarction, undergoing percutaneous coronary intervention (PKI), who were treated at the Zvezdara Clinical Hospital in Belgrade during the research period, from January to March 2020. Data were taken from the medical records of these patients. During the study, AIM type, comorbidities, CVD risk factors, GRACE score and frequency of complex nursing interventions in patients with low, moderate, and high-risk of adverse cardiac events were monitored. Results: Out of a total of 50 examinees with AIM treated with PKI, 74% had STEMI and 26% NSTEMI. 84% of patients had positive family history, 64% hypertension, 2% diabetes, 48% obesity, 52% were smokers and 6% of them were using alcohol. The values of the GRACE score were increased as follows: in four patients more than 140, while in one of them a moderate value was recorded, and in one low value of the GRACE score. In the course of six months, three patients, who had high GRACE scores on hospitalization, had a lethal outcome. Complex nursing interventions in the intensive care unit are more common in patients who have high GRACE score values after AIM. Conclusion: The GRACE score can be used as an important guideline in planning the health care of patients after an acute myocardial infarction.

Factors influencing arrival of patients with acute myocardial infarction at emergency departments: implications for community nursing interventions

2010 ◽  
Vol 66 (7) ◽  
pp. 1469-1477 ◽  
Author(s):  
Theodoros Xanthos ◽  
Ioannis Pantazopoulos ◽  
Ioannis Vlachos ◽  
Konstantinos Stroumpoulis ◽  
Dimitrios Barouxis ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Departments ◽  
Nursing Interventions ◽  
Community Nursing ◽  
Factors Influencing

scholarly journals Nursing interventions in the treatment of syndrome Takotsubo // Zadaci kardiološke medicinske sestre u lečenju Takotsubo sindroma

2018 ◽  
Vol 5 (1) ◽  
pp. 45
Author(s):  
Areta Ognjenović
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Acute Coronary Syndrome ◽  
Clinical Picture ◽  
Nursing Interventions ◽  
Main Role ◽  
Coronary Syndrome ◽  
Psychological Suffering ◽  
St Elevation ◽  
Direct Toxicity

Takostube syndrome (TS; broken heart syndrome) is described as transient reversible cardiomyopathy that occurs in older women in most cases as a result of mental or psychological suffering. It is associated with various disorders and it is defined as Takotsubo Syndrome (TS). The clinical picture is similar to acute coronary syndrome, but it must differ from acute ischemic heart disease. Ethiopathological factors have not been fully clarified, but the main role in the development of TS by catecholamine-induced spiking myocardial capillaries or the direct toxicity of catecholamines themselves.There are no strict guidelines in the implementation of health care for patients with TS. Given the great similarity in the clinical picture between acute myocardial infarction and TS, the same procedures and tasks are used in practice as in patients with acute myocardial infarction with ST elevation, while coronarography does not prove to be the opposite. The patient under suspicion of diagnosis of TS is admitted to the coronary unit.Healthcare goals for the treatment of patients with TS are identical to those in acute coronary syndrome and include: pain relief, tension reduction - anxiety, preservation of myocardial function, and prevention and treatment of complications.

scholarly journals Measuring Nursing Sensitive Outcomes in Patient with Acute Myocardial Infarction: Tool Development and Validation

2019 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Sahar Yassien ◽  
Mona Hamdi
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Education ◽  
Nursing Intervention ◽  
Face Validity ◽  
Nursing Interventions ◽  
Scientific Validity ◽  
Nursing Curricula ◽  
Nursing Outcomes ◽  
Nursing Sensitive Outcomes

Context: The outcomes movement is a young science, improving care by determining the outcomes of nursing interventions will give scientific validity to strategies that are used by nursing in a variety of venues. Cardiovascular nurses contribute significantly to health outcomes and frequently assume responsibility for the clinical and organizational processes to ensure positive outcomes for patients and families Aims: The aims of this study were to identify nursing-sensitive outcomes in patients with acute myocardial infarction, to develop a tool to measure nursing-sensitive outcomes of caring patients with myocardial infarction, and to evaluate the content, face validity, reliability and nursing sensitivity of 46 nursing sensitive-outcomes concerning bio-psycho-socio- educational aspects of care for patients with myocardial infarction from the Nursing Outcomes Classification (NOC). Methods: A survey research design was used in this study to assess the content and face validity of the designed instrument and inter-rater reliability was utilized to assure its reliability. Thirty patients with acute myocardial infarction subjected to measuring their nursing-sensitive outcomes during their stay in the CCUs or intermediate units. Fifty-nine experts were invited to participate in this study. Nursing-Sensitive Outcomes Measuring Scale was developed and subjected to testing reliability, validity, and sensitivity Results: Most of the studied outcomes showed a high degree of consistency as indicated by ICC that was above 0.900. 100% of the experts rated 14 out of 46 outcomes as very important; the remaining outcomes were assessed by more than 75% of the experts as important. Also, 18 out of 46 outcomes were rated by the 100% experts as very sensitive to the contribution of nursing intervention; no one outcome was rated as not important or not sensitive for nursing contribution. Conclusions: The study provided evidence of outcomes content validity, reliability, and nursing sensitivity of the studied outcomes. The study recommended the testing of NOC outcomes in various clinical settings with appropriate training for nurses, and the inclusion of NOC into nursing curricula to utilized in clinical education as a continuum for nursing diagno- ses classification.

scholarly journals NURSING INTERVENTIONS TO PATIENTS AFFECTED BY ACUTE MYOCARDIAL INFARCTION

2021 ◽  
pp. 11
Author(s):  
◽  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Patient Safety ◽  
Chest Pain ◽  
Literature Review ◽  
Adverse Events ◽  
Nursing Interventions ◽  
Inclusion Criteria ◽  
Boolean Operator ◽  
Research Theme

Objective: To identify and describe in the current literature nursing interventions for patients affected by acute myocardial infarction. Methods: This is an integrative literature review conducted with materials indexed in the Virtual Health Library (VHL), in the databases: BDENF, LILACS and MEDLINE. Using as descriptors: Assistance, Myocardial Infarction and Nursing, mediated by the Boolean operator AND. The inclusion criteria were: full text, available, free of charge, in Portuguese, published in the chronicity of time from 2015 to 2020 and which responds to the research theme. Results: After crossing the descriptors, 1701 publications were identified, of which were included in review 10 that met the established criteria. 04 on the basis of LILACS, 01 on MEDLINE and 05 on BDENF, with the following percentages: 40%, 10%, 50%, respectively. Conclusion: It is necessary to continually update the team’s chest pain protocol and approaches to patients affected with acute myocardial infarction, as they present constant changes. Thus, aiming at improvements in interventions, quality assistance, minimization of adverse events and maximization of patient safety.

scholarly journals Intervensi Keperawatan untuk Menurunkan Kecemasan Pasien Dengan Acute Myocardial Infarction

2020 ◽  
Vol 11 (4) ◽  
pp. 389
Author(s):  
Tri Wahyuni Ismoyowati ◽  
Bernadeta Kristanti ◽  
Brilian Yudistira Nugraha ◽  
Theresia Rini Yuwanti
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Literature Review ◽  
Data Base ◽  
Emotional Health ◽  
Complementary Therapy ◽  
Psychological State ◽  
Nursing Interventions ◽  
Data Bases ◽  
Keywords Anxiety

Acute Myocardial Infarction (AMI) is also known as a heart attack, coronary occlusion, or just coronary, which is a life-threatening condition characterized by the formation of local necrotic areas within the myocardium. One that is very influential on the psychological state of patients with heart problems that will be able to change the coping patterns of patients in dealing with the disease and live their lives is the emergence of anxiety. This paper is a literature review / literature review from several data bases namely Google Schoolar, ScienceDirect, NCBI and PubMed. Search articles are limited from 2010 to 2020. The author uses the keywords "anxiety" and "Acute myocardial infarction / Myocardial infarction". The results of the research from four data bases obtained 102 articles 43 from Indonesian language articles and 59 English articles. Based on the facts that occur in the condition of patients with AMI, anxiety is one of the conditions that can cause changes in physical, or psychological. Anxiety that appears can have a negative effect on the success of treatment and treatment, it is necessary to have appropriate pharmacological and nonpharmacological therapy. Non-pharmacological therapy, namely psychological therapy and complementary therapy. Complementary therapy has been recognized and accepted as a form of nursing care. The results of the analysis of several studies showed that independent nursing interventions that were proven effective in reducing anxiety were by giving aromatherapy namely aromatherapy Geranium, Lemon, and Lavender. Aromatherapy is a method that uses essential oils to improve physical and emotional health. Aroma therapy has a positive effect because it is known that a fresh, fragrant aroma stimulates sensory, receptors and ultimately affects other organs so that it can have a powerful effect on emotions. The results of this study can be considered giving nursing interventions to reduce anxiety in AMI patients by giving aromatherapy Keywords: anxiety; acute myocardial infarction; aromatherapy ABSTRAK Acute Myocardial Infarction (AMI) juga di kenal sebagai serangan jantung, oklusi koroner, atau hanya koroner, yang merupakan kondisi mengancam jiwa yang ditandai dengan pembentukan area nekrotik lokal di dalam miokardium. Salah satu yang sangat berpengaruh pada keadaan psikologis pasien dengan gangguan jantung sehingga akan dapat merubah pola koping pasien dalam menghadapi penyakit maupun menjalani hidupnya adalah timbulnya kecemasan. Tulisan ini merupakan tinjauan literatur/literature review dari beberapa data base yaitu Google schoolar, ScienceDirect, NCBI dan PubMed. Penelusuran artikel dibatasi dari tahun 2010 sampai dengan tahun 2020. Penulis menggunakan kata kunci “kecemasan” dan “akut miokard infark/ miokard infark”. Hasil penelitian dari empat data base diperoleh 102 artikel 43 dari artikel bahasa Indonesi dan 59 artikel Bahasa Inggris. Berdasarkan fakta-fakta yang terjadi pada kondisi pasien dengan AMI, kecemasan merupakan salah satu keadaan yang dapat menimbulkan adanya perubahan keadaan fisik, maupun psikologis. Kecemasan yang muncul dapat memberikan efek negatif bagi keberhasilan perawatan dan pengobatan, maka diperlukan terapi farmakologi maupun non-farmakologi yang tepat. Terapi non farmakologi yaitu terapi psikologis dan terapi komplementer. Terapi komplementer telah diakui dan diterima sebagai bentuk asuhan keperawatan. Hasil analisis beberapa penelitian menunujukkan intervensi keperawatan mandiri yang terbukti efektif menurunkan kecemasan adalah dengan pemberian aromaterapi yaitu aromaterapi Geranium, Lemon, dan Lavender. Aromaterapi adalah metode yang menggunakan minyak atsiri untuk meningkatkan kesehatan fisik dan emosi. Aroma terapi mempunyai efek positif karena diketahui bahwa aroma yang segar, harum merangsang sensori, reseptor dan pada akhirnya mempengaruhi organ yang lainnya sehingga dapat menimbulkan efek kuat terhadap emosi. Hasil studi ini dapat dipertimbangkan pemberian intervensi keperawatan untuk menurunkan kecemasan pada pasien AMI dengan pemberian aromaterapi Kata kunci: kecemasan; akut miokard infark; aromaterapi

scholarly journals Elaboration and validation of an ICNP® terminology subset for patients with acute myocardial infarction

2019 ◽  
Vol 53 ◽  
Author(s):  
Renata Soares Passinho ◽  
Cândida Caniçali Primo ◽  
Mirian Fioresi ◽  
Maria Miriam Lima da Nóbrega ◽  
Marcos Antônio Gomes Brandão ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Nursing Practice ◽  
Nursing Interventions ◽  
Methodological Study ◽  
Model Method ◽  
Nursing Outcomes ◽  
Clinical Nursing ◽  
Nursing Diagnosis ◽  
International Nursing

ABSTRACT Objective: To elaborate a terminological subset for the International Classification for Nursing Practice (ICNP®) for patients with acute myocardial infarction using the Activities of Living Model. Method: A methodological study which followed the guidelines of the International Nursing Council and was based on theoretical framework of the Activities of Living Model for its elaboration. Content validation was performed by 22 nursing specialists. Results: Twenty-two (22) diagnoses and 22 nursing outcomes were elaborated. Of these, 17 nursing diagnosis statements and 17 nursing outcome statements presented Content Validity Index (CVI) ≥ 0.80. Of the 113 elaborated nursing interventions, 42 reached a CVI ≥ 0.80, and 51 interventions made up the terminological subset after the expert suggestions. Conclusion: The ICNP® was suitable for use with the Activities of Living Model, having compatible terms with those used in clinical nursing practice, and valid for construction of the terminological subset for patients with acute myocardial infarction and most likely to facilitate clinical nursing judgment.

scholarly journals Nursing interventions in the management of patients with acute myocardial infarction / Sestrinske intervencije u zbrinjavanju bolesnika sa akutnim infarktom miokarda

2014 ◽  
Vol 1 (1) ◽  
pp. 28
Author(s):  
Areta Ognjenović
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Nursing Interventions ◽  
Human Relations ◽  
Cvd Risk ◽  
Appropriate Therapy ◽  
Unhealthy Diet ◽  
Coronary Care

Cardiovascular disease (CVD) is one of the leading health problems of today and the leading cause of death worldwide. Occurrence of CVD risk factors contribute most, unhealthy diet and sedentary lifestyle. Most CVD could be prevented by addressing risk factors (smoking, obesity, physical inactivity, high blood pressure, diabetes and elevated lipids) improving nutrition and socio-economic conditions of life. The most common form of coronary heart disease, acute myocardial infarction (MI), which is characterized by high mortality and major functional deficit, and its management require urgent, contemporary and appropriate therapy which involved a team of doctors and nurses - technicians. Each participant in a team which cares for people with IM should be as professionally qualified and theoretically. In this team nurses - technicians play an important role especially in coronary care units. A nurse in the coronary care unit not only provides patient care he needs and to mediate between patients and doctors, but also responsible for the observation of the patient by the minute and begin therapy on its own initiative when necessary. The role of nurses requires a stable, intelligent person, enthusiastic with good human relations. It should be left to the patient’s impression of the competence, experience and understanding.

An electron microscopic study of the intra-myocardial lesions in cases of acute myocardial infarction

1978 ◽  
Vol 36 (2) ◽  
pp. 484-485
Author(s):  
Masahiro Ono ◽  
Kaoru Aihara ◽  
Gompachi Yajima
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Vessels ◽  
Vascular Wall ◽  
Vascular Changes ◽  
Electron Microscopic ◽  
Main Trunk ◽  
Mechanical Destruction ◽  
Transmission Electron ◽  
Myocardial Lesions

The pathogenesis of the arteriosclerosis in the acute myocardial infarction is the matter of the extensive survey with the transmission electron microscopy in experimental and clinical materials. In the previous communication,the authors have clarified that the two types of the coronary vascular changes could exist. The first category is the case in which we had failed to observe no occlusive changes of the coronary vessels which eventually form the myocardial infarction. The next category is the case in which occlusive -thrombotic changes are observed in which the myocardial infarction will be taken placed as the final event. The authors incline to designate the former category as the non-occlusive-non thrombotic lesions. The most important findings in both cases are the “mechanical destruction of the vascular wall and imbibition of the serous component” which are most frequently observed at the proximal portion of the coronary main trunk.

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