Brief Patient History
Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion for the past month. She has a history of hypertension and hyperlipidemia. She was admitted as an inpatient on a medical floor for management of her blood pressure and is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain.
The rapid response team is called to evaluate Mrs. G. When the team arrives at her bedside, she continues to complain of pain, which now radiates to her neck and back. She has some slight shortness of breath and is vomiting.
The admission electrocardiogram (ECG) shows ST-segment elevation in II, III, and AVF.
Baseline vital signs include the following: blood pressure of 160/90 mm Hg, heart rate of 98 beats/min (sinus rhythm), respiratory rate of 18 breaths/min, temperature of 99°F, and O2 saturation of 94%.
Inferior myocardial infarction is diagnosed
1. What major outcomes do you expect to achieve for this patient?
2. What problems or risks must be managed to achieve these outcomes?
3. What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
4. What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?
5. What possible learning needs do you anticipate for this patient?
1. What major outcomes do you expect to achieve for a patient?
2. What problems or risks must be managed to achieve this outcomes?
a) relieving pain and other symptoms of ischemia
b) improving respiratory function
c) promoting adequate tissue perfusion
d) reducing anxiety
d) monitoring and managing complications
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