Nursing Assignment: Myocardial Infarction and Nursing Care

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ASSESSMENT- CASE STUDY

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Contents
Introduction:....................................................................................................................................3
Pathophysiology:.............................................................................................................................3
Homeostatic Mechanisms:...............................................................................................................4
Radiation of pain to shoulders and left arm:.................................................................................5
Pallor:............................................................................................................................................5
Clamminess:.................................................................................................................................6
Nursing Care:...................................................................................................................................7
Conclusion:......................................................................................................................................9
Reference:........................................................................................................................................9

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Introduction:
Myocardial infarction is actually is a process. It is also referred to as a heart attack or
stroke or cardiac arrest. When the blood circulation stops inside the heart, the heart stops
working partially and heart muscles are damaged. In such cases the patients feel severe chest
pain, feeling pain in the left shoulder and arms, suffering from breathing problem also. In such
cases the patients need immediate medications sometimes patients need surgery as well which is
commonly known as angioplasty.
Pathophysiology:
Mr Papas admitted to the local hospital due to heavy chest pain. He is now admitted in
the emergency department of that hospital. Doctors suspect that he is suffering from
myocardial infarction. But there is no past medical history throughout his life. He was never
suffering from any kind of cardiac disease before this. None of his family members gets
affected by any kind of cardiac disease before him. All of his symptoms like having nausea,
chest pain, anxiety, dizziness, diaphoresis, high body temperature are indicating that he is
suffering from this life-threatening disease (Cabello et al., 2016). This will lead his heart
toward a massive heart attack or cardiac arrhythmia.
When the heart attack occurs due to ST- elevation of myocardial infarction this will
leads patients towards death. These kinds of condition are found at electrocardiogram

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technique (Akbar et al., 2017). This kind of abnormalities in heart occurs due to the blockage
of the coronary artery which is the main part of the heart which supplies blood into it. This
kind of situation arose due to heavy smoking, drinking and consuming a high amount of
unsaturated fats and less exercise. Mr Papas leads a very hectic life. He worked in the IT
department which is considered a quiet hectic job. He did not get much time for exercise and
he smokes regularly (Anderson & Morrow, 2017, p. 2058). We can consider him as a chain
smoker also. This kind of myocardial infarction need s to be treated as soon as possible as this
condition is considered as life-threatening. In the emergency situation, most of the patients are
treated with surgery which is called angioplasty.
Some of the people are also suffered from a heart attack but their condition is not as
serious as Mr Papas, as they will be getting affected with ST elevation of myocardial
infarction. This type of heart attacks is less dangerous than STEMI (Reed, Rossi & Cannon,
2017). This kind of situation found only when people are suffering from another chronic
disease for years. Some of them are diabetes or kidney diseases etc. Though this is less
dangerous than the STEMI still this kind of disease also need to be treated as early as possible.
Homeostatic Mechanisms:
In the case of Mr Papas, it is quite confirmed that he is suffering from myocardial
infarction as all of his symptoms are indicating towards this.
Radiation of pain to shoulders and left arm:
In the case of acute or severe myocardial infarction pain in the chest is one of the very
natural and common symptoms. It is often referred to like the sensation of the pressure,