Create an unfolding case study that focuses on a common condition seen in your area of specialization. The case study should provide information on a fictitious patient and information about one or more health problems that will need to be solved
The unfolding case study must challenge the student and ask questions that encourage critical thinking and problem solving with an emphasis on assessment. The answers to the questions should be complete and include professional literature to support answers
Identify the audience for the case study; it may be an undergraduate nursing student, a novice RN, or a staff RN inservice
Prepare a presentation of your unfolding case study
The unfolding case study must have a minimum …show more content…
In contrast, a STEMI typically occurs when this same process leads to complete occlusion of a coronary artery with transmural, or full thickness, myocardial wall infarction. The ECG will show ST-segment elevations in the area of the heart fed by the affected blood vessel(emedicine, 2009).
Student learning objectives for this case
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In patients considered for a PCI, a loading dose of 600 mg is advised to achieve more rapid inhibition of platelet function. Clopidogrel should be maintained for at least 12 months unless there is an excessive risk of bleeding.
All patients should receive medications to relieve pain. These may include opioid analgesics (morphine sulfate intravenously) where available. Sublingual or intravenous nitrates should be administered if systolic blood pressure is ≥120 mm Hg. If systolic BP is ≥100 mm Hg but less than 120 mm Hg, nitrates must be administered cautiously. Non-steroidal anti-inflammatory drugs (NSAIDs, other than aspirin) should not be given for analgesia (Lal, 2011).
Reducing the total time to reperfusion--the time from the first chest pain or other symptoms to reperfusion in the cath lab--is a critical goal for providers and researchers trying to improve outcomes in patients suffering an ST-segment elevation MI (STEMI).
Non-Pharmacological Treatments: Have blood tests called cardiac biomarkers to check for damage to your heart muscle
Have an electrocardiogram (ECG) to evaluate your heart’s rhythm and look for abnormalities in the heart’s electrical system(cardiosmart,2013).
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Case Study