Sunday, December 29, 2019

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. 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