Nursing Care Of The Emergency Department With The Primary...

It is important for graduate nurses to be familiar with chest pain management and therapeutic interventions as chest pain can evolve rapidly and require quick responses from nurses and collaborative teams. This essay will critically analyse the nursing care of a patient presenting to the emergency department with the primary compliant of chest pain. In this particular case, the patient’s chest pain is being caused an acute coronary syndrome (ACS) possibly an acute myocardial infarction (AMI) (Kervinen, 2013). Following initial investigations, the priority was to manage pain and lower blood pressure. Severe pain can impact vital signs, therefore vital signs can begin to stabilise with the reduction of pain (ref). Hypertension also needs to be addressed as a priority. Unmanaged hypertension leads to further damage to the myocardium and narrowing of arteries, which increases the risk of adverse complications (refe). The pharmacological interventions carried out in emergency for pain including Glyceryl trinitrate (GTN) and Morphine and stabilising blood pressure with Ramipril are supported by systematic reviews and clinical guidelines including the National Institute for Health and Care Excellence guidelines (NICE). In addition, non-pharmacological interventions to address hypertension included bed rest, provision of comfort and dimming of lights are also supported. Nursing Interventions (critically analyse + may identify others) Chest pain (clinical guidelines + systematicShow MoreRelatedPatient Education Can Be Received Positively Or Negatively?1435 Words   |  6 Pagesnurse’s style of teaching, the patient can still be non-adherence in the treatment process. Often times, in our clinical setting, we are met with patients who will be openly non-adherent and non-compliant and will refuse the nursing education process and chances for improving their health. In an emergency room setting, triage, treatment and patient education can be difficult depending on the patient’s medical status or mental status. Nurses are also met with a variety of intellectual levels. EachRead MoreCopd Exacerbation2973 Words   |  12 Pagesretired male, who presented to the emergency room at Northeast Methodist Hospital initially on February 11, 2011, with complaints of shortness of breath and coughing. He was diagnosed as having a COPD Exacerbation and was placed on antibiotic therapy and was released home. He was also advised at that time to complete the entire course of antibiotics and return to his primary treating physician if his condition did not improve. He reported that he was compliant with is treatment regimen and afterRead MoreEffectiveness Of Discharge Planning For Patients Essay1235 Words   |  5 PagesEvidence-based practice enhances care and the delivery process as well as improving patient outcomes, thus the reason it is recommended when providing discharge planning for patients. Research shows numerous barriers restrict effective discharge teaching. Inadequate comprehension is the leading barrier preventing successful teaching thus increasing patient adverse effects, risks, and poor outcomes according to the article, â€Å"Effective Discharge Communication in the Emergency Department.† Reading level, advancedRead MoreInterdisciplinary Teams2518 Words   |  11 PagesSection One Paper: Interdisciplinary Teams According to Stille and Antonelli (2004), coordination of care is a critical function of pediatric primary care that may be best delivered using a team approach. Coordination of care is a holistic health care approach that is often delivered by a team of practitioners such as a physician, advanced practice nurse, school nurse, social worker, pharmacist, nutritionist, respiratory therapist, and others. Coordination is defined as â€Å"the state of beingRead MoreHospital Acquired Pneumonia Case Study1968 Words   |  8 Pagesto return to the emergency department the following day presenting with signs and symptoms of pneumonia. This paper will discuss her diagnosis, treatment, risk factors, nursing care, socioeconomic influences, and diagnostic testing. Primary Medical Diagnosis Ms. G. was admitted to the hospital with the symptoms of shortness of breath, a low oxygen saturation, tachypnea, tachycardia, anxiety, nausea and vomiting, crackles in both right and left lower lobes of the lungs, pain, a low grade feverRead MoreEvidence Based Nursing Care For A 57 Year Old Gentleman Who Has Been Recently Diagnosed With Acute Coronary Syndrome2805 Words   |  12 Pages The aim of this essay is to discuss and explore the evidence based nursing care for a 57 year old gentleman who has been recently diagnosed with Acute Coronary Syndrome (ACS). A case study will be used in order to explore the pathophysiology, aetiology and how to manage the illness as well as published research in order to increase the nurse’s knowledge of the client and provide the best possible care for him. Throughout this essay, the client along with the family will learn how to manageRead MoreCritical Evaluation Of Critical Analysis Essay2976 Words   |  12 Pagesperspec tive to encourage active participation of the client and their whanau. Pharmacological and non-pharmacological treatments will be assessed appropriately as part of a recovery focused innovation, in providing a ‘seamless’ service for continuity of care. Early Psychosis Prevention and Intervention Centre (2015) suggests psychosis is a word that describes an abnormal affect to the mind, which is not a diagnosis but a term used to describe symptoms that are a group of conditions, such as delusions andRead MoreCase Study Essay33967 Words   |  136 PagesPART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a â€Å"frequent flier,† is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, â€Å"I just had to come to the hospital today because IRead MoreInternational Classification of Diseases Coding Ii10064 Words   |  41 Pagesto discharge, it should not be coded. a.True b.False 2. If pain does not resolve within one month, it is considered chronic. a.True b.False 3. Codes from category G89, Pain, not elsewhere classified, may be used as the principal or first-listed code when pain control or pain management is the reason for the admission/encounter. a.True b.False 4. Complete the following statement: Postoperative pain immediately after surgery should be coded: A. Only when documentedRead MoreHeart Failure Essay6843 Words   |  28 PagesHeart Failure Christy Harding Western Governors University C155- Pathopharmacological Foundations for Advance Nursing Practice Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability