Nursing Considerations in Managing Acute Coronary Syndrome Cases

This case study discusses nursing considerations for managing a patient presenting with central chest pain, focusing on Ruksana Hasmid, a 55-year-old woman. The study highlights the importance of recognizing symptoms, providing primary support such as oxygen, and applying differential diagnosis to rule out other conditions. Nursing interventions include managing chest pain, administering medication like aspirin to reduce blood clots, improving blood flow through Primary Percutaneous Coronary Intervention (PPCI), and ensuring patient comfort. The ongoing nursing intervention emphasizes the application of PPCI and the importance of dilating arteries to improve blood flow, thereby reducing the risk of myocardial infarction and improving patient outcomes in acute coronary syndrome cases. The study concludes that effective nursing care is crucial for managing emergency situations and providing relief from acute coronary syndrome.

Acute coronary
syndrom

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
PART 1............................................................................................................................................3
PART 2............................................................................................................................................5
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Acute coronary symptoms refer to the term which are highly effectively and have some
range of condition which are associated with reduce blood flow suddenly to the heart. This
condition can include the heart attack where it lead to risk of death result due to destroyed heart
tissues. To deal with such type of health condition, there is need to get some medical assistance
which include for better care and treatment. These treatment and care be provided in healthcare
premises which includes the nursing consideration which are highly associated with taking care
of effective response that includes better care management which are associated with delivery of
effective response that can impact better and effective health. In this essay, there is discussion
about the nursing consideration for managing patient who are presented with the central chest
pain. There is also discussion about the aspect on focusing on the ongoing nursing consideration
of central chest pain (Chieffo et. al., (2020)).
MAIN BODY
PART 1
According to the case scenario Ruksana Hasmid who is 55 years old women is facing the
central chest pain which lead to create the situation of emergency department which are
associated with proper treatment and care and have high impact on her health. Ruksana is facing
central chest pain which can have different cause like angina or heart attack. There is another
causes which may include reflux, indigestion, muscle strain, inflammation in rib joints or many
more. Here, within the healthcare premises, nursing staff should ensure about delivery of proper
care and treatment that can be effective for the patient (Schwartz et. al., (2018)). Nursing staff
should ensure about the recognising the sign and symptoms that can be effective to provide some
primary support that should have high impact on delivery of better care and support to the patient
to get normal. This can also help nursing staff to understand the situation and condition that can
be effective for the nursing staff for better consideration of the situation and provide better
nursing care at the initial stage of emergency. Here, Ruksana is facing the central chest pain
which includes the symptoms like sudden feeling of pressure, tightness, squeezing, cursing under
breastbone, sudden sharp chest pain, shortness of breath and other. Nursing staff should take
those in the consideration which can be effective and allow to ensure about provide better and

appropriate care which can allow to get better and effective response toward the delivery of
healthcare care assistance and health improvement.
Nursing consideration refers to responsibility of nurses for recognising patient symptoms
and use their knowledge and skills to provide better scope to practice the administer mediation,
measure of symptoms, collaborating with other healthcare professionals, alleviation to optimize
patient comfort and help them to understand and adapt to the healthcare condition. There is need
to provide better and effective response which are associated with taking care of patient health
that include better care and support to patient and provide relief from the chest pain. There is
need for nursing consideration which can be effective and allow to provide better and effective
delivery of care services and treatment accordingly. Here, it essential to ensure to provide the
oxygen that can help to reduce the current symptoms of shortness and difficult to breath. Here,
nursing consideration may include chest pain, bed rest, providing oxygen, making patient
comfortable, preventing pain, reducing anxiety, checking up vitals sign and proper monitoring to
deteriorating health (Linde et. al., (2020)).
There is need to apply the differential diagnosis which can be effective and allow to take
care of other health condition which can be present in patient health. There is need to provide
better and effective response towards ensuring about other symptoms from which patient is
suffering. This can help to get ensure about taking care of effective response which are
associated with delivery of better care and treatment including management. According to case
study, Ruksana is facing central chest pain, where nursing consideration include the proper blood
flow which can improved through dilation of arteries of the heart along with angina within
patient. This can allow to get better care and effective response towards better care of blood flow
to heart and help in emergency treatment to improve patient health. To dilate the arteries and
improve the blood flow there is need to use the Primary Percutaneous Coronary Intervention
(PPCI) which is an effective nursing consideration to provide better relief from the chest pain.
There is need to manage the health condition of patient which has been presented to the
emergency department. Patient is facing heart pain which should be taken in consideration and
should take initiative to provide better and effective primary care that can help and support
patient to reduce the symptoms specially pain and shortness of breath to ensure not deteriorating
patient health. Here, it is essential for managing the chest pain which should performed through
different nursing intervention where providing oxygen is one of the main nursing consideration

where patient should get better support to fight against the shortness of breath. This can help to
fulfil the oxygen demand in patient and help to improve patient health (Bittner et. al., (2020)).
Here, managing chest pain can be effective responsibility for the nursing staff which can
help to improve the patient health and help to get survive. In this, there is need for the
consideration different symptoms which include oxygen demand, making patient comfortable,
checking up vital signs obtaining ECG. There is also need for the patient diagnosis which is an
effective way that can help nursing staff to provide better care and support to patient which can
allow to improve in patient health and allow to live effectively.
In initial stage, nursing staff should provide primary care which include providing oxygen
supply that can help to reduce the symptom which is shortness of breath and breath problem.
After that, there is need for the nursing consideration which have different positive aspect that
includes better and effective care for improving patient health. Angina refers to a chest pain
which is caused due to imbalance between oxygen supply and oxygen demand. Here, oxygen
supply gets disturbed due to decreases coronary blood flow and oxygen demand increased due to
myocardial oxygen consumption. This leads to decrease in the oxygen supply in patient with
chest pain (Campo et. al., (2019)).
PART 2
Patient is suffering from the central chest pain which can be sign of the heart attack where
nursing consideration is necessary that can help to get better care and support which are
associated with delivery of better and effective response to the patient health. There is various
nursing consideration in which providing oxygen supply, differential diagnosis, providing
medication, providing Primary Percutaneous Coronary Intervention (PPCI) are some of the
nursing consideration which can be effective and allow to take care of patient with central chest
patient. There is need to ensure about taking care of effective response which are effective and
allow to improve the patient health. Here, one aspect which have focus on the ongoing nursing
intervention to the heart pain condition is the applying PPCI (Galli et. al., (2022)).
Nursing consideration also includes about reducing the chest pain where proving Aspirin
can be very effective medication at the initial stage which can help to reduce the blood clot
which are effective and have ability to work as antiplatelet drug and help coronary artery to flow
blood effectively. Aspirin has rapid effect which can reduce mortality by 20%. This during can
be effective for the patient that can allow to get better and effective response towards the

reducing blood clot and help to improve the blood flow. There is another nursing consideration is
to provide better posture which can help patient to improve the blood flow within body and allow
to reduce the oxygen demand and help in improving breath.
There is highly risk of myocardial infarction which is highly effective and can have risk of
heart attack. There is need to provide better and effective consideration that can allow to provide
effective blood flow that can allow to improve the blood circulation that are effective and allow
artery to effective blood flow. Here, PPCI is an effective therapeutic strategy that can be helpful
for the patient who is facing chest pain and needed proper care and management.
According to Moslemi (2019), coronary heart disease is highly effective and leads to create
the risk of death within large population where due to increased age, suffering from other health
disease and many more. There are large number of people are facing the coronary heart disease
which is highly effective and creating negative health impact. There are different series which
place the prevalence of ACS within large population above 30 %. There is need for the treatment
and management for the ST segment elevation myocardial infarction (STEMI) which include the
percutaneous coronary intervention which are provided to the patient on primary basis. There are
many patients who are facing the coronary heart disease where they face the central chest pain.
In this, situation they need for the emergency healthcare support which are effective and allow to
get better care for the effective response that may help to get better blood flow which can be
effective to ensure about providing improvement that can allow to get improve the heart pain. It
is effective that can allow to get better and effective response through getting better health
improvement and provide better cardiac catheterization laboratory which can help to undergo
mechanical revascularization and using balloon angioplasty, aspiration thrombectomy, coronary
stents and other measures.
According to Chen (2019), PPCI has effective impact with stenting for the standard
reperfusion strategy which are effective treatment for the STEMI and can achieve better
improvement in health. There is need to take care of effective response towards diluting the
artery which can be effective and allow to get better blood flow (Yong et. al., (2018)). Here some
of the medication can also be effective that can help to get better health improvement through
reducing the blood clot in artery and provide better allow flow to the heart and allow to improve
the artery blood flow which can allow to improve better health which are effective for reducing
the negative health impact like chest pain, breathlessness and others. This one is provided as the

primary nursing intervention which are effective and allow to reduce the effectiveness of the risk
of coronary heart disease. It can also be effective in reducing negative of blood flow and help
through decreasing mortality of patient who are presenting with STEMI and help to provide
better treatment for the acute coronary syndrome (ACS). This can help in treatment to open the
blocked artery. Arteries refers to the blood vessels that carry blood to the heart and when these
blood vessels get blocked either due to any reason like accumulation of fatty, waxy substance
(plaque) which are associated with creating risk of heart attack. Here, PPCI work effectively to
reduce the blood clot and help artery to improve the blood flow that can be effective and help to
improve the better blood circulation to heart (O'Toole et. al., (2019)).
CONCLUSION
From above discussion, it can be concluded that there is highly importance of nursing
consideration which have high impact on delivery of better and effective response that can allow
nursing staff to take care of patient health initially and provide better comfort. Here, providing
oxygen support, maintaining body posture, providing medication, Primary Percutaneous
Coronary Intervention consideration are important which can allow to control the emergency
situation and enable to provide better relief from the acute coronary syndrome. There is
discussion about the nursing consideration which can be effective to deal with the situation of
acute coronary syndrome.

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