Acute coronary syndrome

Acute coronary syndromes is an umbrella term that includes several cardiac ischemic events.1 The broad term of ACS entails ST segment elevation-ACS (STE-ACS) and non-ST segment elevation ACS (NSTE-ACS) based on the initial electrocardio- gram(ECG) finding.4 ACS usually occurs as a sudden reduction in blood flow to the coronary arteries due to rupture of the atherosclerotic plaque, which subsequently leads to myocardial ischemia or/and infarction.1, 2, 3 The American Heart Association (AHA) predicts about 780,000 new cases per year of ACS in the United States with an estimation around 70% of NSTE-ACS and a 30% of STE-ACS.1, 4 The combination of ECG findings, cardiac biomarkers and symptoms play an important role in the diagnosis and prognosis…

Working within the Intensive Care environment patients who suffer from some form of acute coronary syndrome is a common occurrence, however these tend to be patients in the most critical state that have suffered cardiac arrest. More stable patients are either admitted to the acute coronary care unit or transferred via helicopter to a hospital that specialises in treatment to alleviate the symptoms and improves the patient’s chances of survival. Acute coronary syndrome (ACS) is the umbrella term…

An invasive approach including percutaneous coronary intervention (PCI) improves clinical outcomes in clients with ST-segment elevation myocardial infarction (STEMI) and in clients with non-ST-segment elevation acute coronary syndromes (NSTEACS) (Mehta et al., 2012). Periprocedural major bleeding is a strong autonomous predictor of early and late major adverse cardiovascular events and mortality (Bertrand, Larose, & Rodes-Labau, 2009; Verneugt, Steinhubl, & Hamon, 2011; as cited in Bernat et…

Acute Coronary Syndrome: An Overview for Nurses Case Study 1 Patient E is a man, 54 years of age, who presented to his primary care physician's office with complaints of chest pain. Upon arrival at the primary care physician's office, he was chest pain free. A 12-lead ECG was performed and showed no changes from previous ECGs. The patient's vital signs were found to be stable and within his normal range: blood pressure 135/78 mm Hg, heart rate 68 beats per minute and regular, and respirations 16…

Saint Anthony College of Nursing-Rockford, IL N401 Nursing Care of the Adult with Complex Health Deviations Clinical Journal Outline All sections on the journal must be written in complete sentences with appropriate punctuation. Goal and Evaluation (this should be the same goal that you wrote on your prep sheet) Goal Day #1 Evaluate the role of a critical care nurse caring for a patient with acute respiratory distress syndrome. This week in the CCC my patient was on a ventilator and was…

Define chronic illness I think I have a good understanding about what chronic illness is and how it differs from acute illness. Acute illness and chronic illness are different types of illnesses so they are not managed in the same way. Acute illnesses are those that have a shorter duration and will resolve with time and treatment within a few months so the focus is on treatment how to get rid of the illness. Chronic illnesses on the other hand, have a longer duration and may even be lifelong…

1.) Marty Smith ate at a buffet and probably consumed more food than he normally ate at a meal. He probably ate different foods than he normally ate also. 2.) If he was having heartburn, which sometimes causes chest pain, nitroglycerin would not alleviate the pains he was having. He could also have a hiatel hernia, which could also cause pains, the nitroglycerin would also not eleviate his pains. 3.) Also the paramedics hooked him up to an ECG, which did not show any signs of a myocardial…

In the spring and summer of 2003 the Severe Acute Respiratory Syndrome (SARS) crisis was a global concern. SARS had significant impact in a number of countries and areas. It directly affected Mainland China, Hong Kong, Taiwan, Singapore, and Toronto. These countries and areas were most directly affected from the SARS outbreaks, although indirect effects of this disease were felt worldwide. The effects were not only felt in the public health and medical systems, but in the economic and political…

Acute respiratory distress syndrome is a life-threatening condition. More than 150,000 cases are diagnosed each year in the United States. Acute respiratory distress syndrome or ARDS for short is characterized by the rapid onset of severe dyspnea and hypoxemia. Some other symptoms the patient may be displaying are shortness of breath, tachypnea, hypotension, wheezing, fatigue, sweating and cyanosis. ARDS can be caused by a variety of illnesses and traumatic injuries. Sepsis, bacterial pneumonia,…

proposal, one should follow the set guidelines as close as possible, have the teaching tools such as, the power points, pamphlets, questionnares/surveys, agreement, and enlist the help of a professional if necessary. For this implementation institution being a hospital, it lays a good foundation with the right environment crucial for evolving evidence based practice (EBP), and application for change Description of current deficit and Issue Requiring Change During the observation for the last…