Nursing care for patients with Acute Myocardial Infarction : 2 cases.

Abstract

     This case study aimed to study and compare the disease progression, treatment, and nursing care of 2 patients with acute myocardial infarction who came to the emergency room of Nonghee Hospital. The study was conducted in case study 1 who came to the emergency room of Nonghee Hospital on May 13, 2024, and in case study 2 on August 3, 2024. Data were collected using interviews, observations, and medical records using the concept of patient health assessment according to Gordon's 11 health models and determining nursing diagnoses together with the concept of nursing process to apply in nursing patients. This case study compared 2 patients with acute myocardial infarction. The first case study patient who received services in the emergency room of Nong Hi Hospital on May 13, 2024, and the second case study patient on August 3, 2024. Data were collected using interviews, observations, and medical records. The concept of patient health assessment according to Gordon's 11 health models was applied, along with nursing diagnosis and nursing process concepts.
     Main findings : The first case study patient,A thai female 57 years, came to the hospital 30 minutes after drinking alcohol with a friend. She had chest tightness in the middle of her chest, similar to a squeezing of the shoulder blade behind her. Had cold sweats, dizziness, and symptoms did not improve after standing. Received treatment by Fast Track STEMI. Initially diagnosed with anterior wall myocardial infarction. Received treatment with blood thinners (Streptokinase). No complications. Door to EKG for 2 minutes. Onset to door for 30 minutes. Door to needle time for 57 minutes. Cared for according to 4 nursing plans. Case study 2, A thai male 62 years, had a feeling of tightness in the middle of the chest radiating to the neck for 20 minutes before coming to the hospital. Sweating, palpitations, shortness of breath, and breathlessness after waking up. Had a history of high blood pressure and high cholesterol. Received treatment by Fast Track STEMI. Initially diagnosed with inferior wall myocardial infarction. Received treatment with blood thinners. (Streptokinase) No complications, Door to EKG 9 minutes, Onset to door 20 minutes, Door to needle time 36 minutes, nursing care according to 4 treatment plans, both patients received treatment according to the Guideline and were sent to do CAG according to the express channel system at Roi Et Hospital.