Acute Myocardial Infarction: Nursing Interventions & Treatments

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School

Walden University *

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Course

6521

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

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Uploaded by SuperHumanFrogMaster1106

3. A patient is admitted with an acute myocardial infarction (AMI). The nurse knows that an angiotensin- converting enzymes (ACE) inhibitor should be started within 24 hours to reduce Myocardial remodeling is a process mediated by angiotensin II, aldosterone, catecholamine, adenosine, and inflammatory cytokines, which causes myocyte hypertrophy and loss of contractile function in the areas of the heart distant from the site of infarctions. ACE inhibitors reduce the incidence of remodeling. DIF: Cognitive Level: Analysis OBJ: Compare and contrast pharmacological, operative, and electrical treatment modalities used in treatment of cardiac disease. TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. A patient presents to the emergency department (ED) with chest pain occurring for the past 2 hours. The patient is nauseous and diaphoretic with skin that is dusky in color. The electrocardiogram shows ST elevation in leads II, III, and aVF. Which therapeutic intervention would the nurse question? a. Emergent pacemaker insertion b. Emergent percutaneous coronary intervention c. Emergent thrombolytic therapy d. Immediate coronary artery bypass graft surgery ANS: A The goals of management of AMI are to dissolve the lesion that is occluding the coronary artery and to increase blood flow to the myocardium. Options include emergent percutaneous intervention, such as angioplasty, emergent coronary artery bypass graft surgery, or thrombolytic therapy if the patient has been symptomatic for less than 6 hours. No data in this scenario warrant insertion of a pacemaker. DIF: Cognitive Level: Analysis OBJ: Compare and contrast pharmacological, operative, and electrical treatment modalities used in the incidence of which process? a. Myocardial stunning b. Hibernating myocardium c. Myocardial remodeling d. Tachycardia ANS: C

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