MI Basic Medication Administration 2009-2024 free printable template
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Hey everyone its Sandra Turner sorry and calm and in this video I want to be going over part two of myocardial infarction in this video I'm going to be covering the nursing interventions and the medications given in this condition now be sure to watch part 1 because that video built upon this video where I cover the path oh the anatomy how it's diagnosed reading an EKG and things like that and as always over here on the side or in the description below you can access the quiz the lecture notes and part one in other videos in the in like cardiac series so let's get started first let's talk about nursing interventions what are you going to be doing for this patient as the nurse remember time is muscle we talked about in part one those cells in the heart when they quit receiving blood they die really fast and within 30 minutes its irreversible we can't fix them and once they're gone they are gone they cannot be replaced so as a nurse we want to make sure we're assessing our patients, and we're acting fast okay, so we will assess our patients for chest pain one times patients will tell you if they're having chest pain or if they're there for cardiac issues you need to always assess them for chest pain because some patients may not tell you and take steps to evaluate it hospitals have protocols what you do for whenever a patient has chest pain so typically what you're going to do is you're going to start assessing the cardiovascular system you're going to get a 12-lead EKG per physicians order and your job as the nurse is to get that EKG and to look at it in the previous video that's what I really want you to watch it I talked about how to read these EKG's as a nurse what we need to know to do our job the different areas it reflects on the heart and what you're looking for because you're looking for ST segment elevation or depression you're looking at those t ways are they hyper — are they inverted, and you're looking for pathological Q waves so what's that video to figure out how to look at those things another thing is you want to put them on continuous bedside monitoring because they are at risk for going into life-threatening and just redness like v-fib attach things like that also just with meals like atrial arrhythmias or AV blocks you want to monitor their blood pressure their heart rate, and you look for those dysrhythmias place them on oxygen nasal cannula as ordered by the physician it's usually two to four liters whatever the physician orders and have a working IV make sure that you have and at least one for sure and if you can get multiple IVs typically you'll probably you may be starting them on drips, and you'll need another IV to give them other IV push medications so make sure you have working IV side monitor the respiratory sounds because as we talked about in the previous video we talked about complications from an MI you want to make sure that they're not having crackles or also called rails which could represent that we're having...
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