NURS20024: Myocardial Infarction Case Study and Treatment Analysis

This assignment provides a comprehensive analysis of a Myocardial Infarction (MI) case study. It begins with the interpretation of a 12-lead electrocardiography (ECG) revealing acute ST elevation, indicating a STEMI and potential damage to the inferior walls of the heart. The assignment then delves into diagnostic test results, highlighting electrolyte imbalances (hypochloremia, low magnesium) and elevated C-reactive protein (CRP), along with the need to alert the doctor immediately. Further, it explores additional diagnostic tests, including coronary CT angiography, cardiac stress tests, and various blood tests (troponin, CK-MB, myoglobin). The assignment also covers the use of intravenous medications like nitroglycerin, heparin, amiodarone, beta-blockers (Metoprolol), and aspirin, explaining their mechanisms and indications. It examines changes in patient vitals, including orthostatic hypotension, and discusses interventions like Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Grafting (CABG). Finally, it addresses pre- and post-procedure nursing care, including patient assessment using the PQRST model, and considers the patient's medical history, including hyperlipidaemia and smoking. The assignment also covers the location for the 6 chest leads.