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    School of Health and Naturalsciences Nursing Department Bayombong, Nueva Vizcaya

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    Aj Nav
    Mrs. Darsana experienced chest pain and shortness of breath after a family cookout. She was taken to the emergency room where tests showed signs of a heart attack. She was admitted to the hospital for treatment of an acute myocardial infarction. The doctor's orders included medications, cardiac monitoring, bed rest, and diet restrictions. Three patients were listed as being in Room 1, including Mrs. Darsana for her heart attack.

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    School of Health and Naturalsciences Nursing Department Bayombong, Nueva Vizcaya

    Uploaded by

    Aj Nav
    72 views3 pages
    Mrs. Darsana experienced chest pain and shortness of breath after a family cookout. She was taken to the emergency room where tests showed signs of a heart attack. She was admitted to the hospital for treatment of an acute myocardial infarction. The doctor's orders included medications, cardiac monitoring, bed rest, and diet restrictions. Three patients were listed as being in Room 1, including Mrs. Darsana for her heart attack.

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    Nursing activity

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    Mrs. Darsana experienced chest pain and shortness of breath after a family cookout. She was taken to the emergency room where tests showed signs of a heart attack. She was admitted to the hospital for treatment of an acute myocardial infarction. The doctor's orders included medications, cardiac monitoring, bed rest, and diet restrictions. Three patients were listed as being in Room 1, including Mrs. Darsana for her heart attack.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    72 views3 pages

    School of Health and Naturalsciences Nursing Department Bayombong, Nueva Vizcaya

    Uploaded by

    Aj Nav
    Mrs. Darsana experienced chest pain and shortness of breath after a family cookout. She was taken to the emergency room where tests showed signs of a heart attack. She was admitted to the hospital for treatment of an acute myocardial infarction. The doctor's orders included medications, cardiac monitoring, bed rest, and diet restrictions. Three patients were listed as being in Room 1, including Mrs. Darsana for her heart attack.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    Saint Mary’s University

    SCHOOL OF HEALTH and NATURALSCIENCES


    Nursing Department
    Bayombong, Nueva Vizcaya

    Mrs. Darsana was sitting at a family cookout at approximately 2:00 p.m. when she
    experienced what she later describes to the nurse as “nausea with some
    heartburn.” Assuming the discomfort was because of something she ate, she
    dismissed the discomfort and took Tums. After about two hours, she explains,
    “My heartburn was not much better and it was now more of a dull pain that
    seemed to spread to my shoulders. I also noticed that I was a little short of
    breath.” Mrs. Darsana told her son what she was feeling. Concerned, her son
    called emergency medical services.At the hospital, emergency medical personnel
    established an intravenous access. Mrs. Darsana was given four children’s
    chewable aspirins and three sublingual nitroglycerin tablets without relief of her
    chest pain. She was placed on oxygen 2 liters via nasal cannula. Upon arrival in
    the emergency department, Mrs. Darsana is very restless. She states, “It feels like
    an elephant is sitting on my chest.” Her vital signs are blood pressure 160/84,
    pulse 118, respiratory rate 28, and temperature 99.38F (37.48C). Her oxygen
    saturation is 98% on 2 liters of oxygen. A 12-lead electrocardiogram (ECG, EKG)
    shows sinus tachycardia with a heart rate of 120 beats per minute. An occasional
    premature ventricular contraction (PVC), T wave inversion, and ST segment
    elevation are noted. A chest X-ray is within normal limits with no signs of
    pulmonary edema. Mrs. Darsana’s laboratory results include potassium (K1) 4.0
    mEq/L, magnesium (Mg) 1.9 mg/dL, total creatine kinase (CK) 157 μ/L, CK-MB 7.6
    ng/mL, relative index 4.8%, and troponin I 2.8 ng/mL. Her stool tests negative for
    occult blood.

    1st Floor, Constant Jurgens (UB) Building


    Saint Mary’s University, Ponce St., Bayombong, Nueva Vizcaya, 370 Philippines
    Telephone: (078) 321-2221 ext. 122; Telefax: (078) 321-2117; Mobile No.: 0936-286-7269
    Saint Mary’s University
    SCHOOL OF HEALTH and NATURALSCIENCES
    Nursing Department
    Bayombong, Nueva Vizcaya

    Doctors Orders:

     Please admit under my service


     NPO for 6 hours then may start LSLF diet after
     On Complete bed rest without bathroom privileges
     Moderate to high fowler’s position
     Oxygen therapy at 2-3 lpm via nasal canula
     IVF: PNSS IL at KVO
     Pls repeat EKG after 6 hours
     Diagnostics: Cardiac Markers CKMD, Trop I, For FBS in AM, BUN, Crea, Sodium,
    Potassium, ionized Calcium.
     For echo cardiogram once stable
     Medications: Nicardipine Drip: Dilute 10mg of Nicardipine in 100cc PNSS to run for 10-
    15cc/hour Titrate and Maintain BP at 140/90 mmhg
     Isoket Drip: dilute 5mg of ISOKET in 50cc sterile water to run for 10cc per hour use
    another venous access pls.
     isosorbide mononitrate(Montra) 30mg PO OD after Breakfast
     Atenolol(Tenormin) 50mg PO after dinner
     Celecoxib (Celebrex) 300 mg PO BID
     Morphine SO4 5mg IV PRN for severe chest pain
     Monitor VS q 1
     I&O q shift
     Thank you for this referral

    Dr. Arnold B. House, MD

     Kardex
     Medication Card

    1st Floor, Constant Jurgens (UB) Building


    Saint Mary’s University, Ponce St., Bayombong, Nueva Vizcaya, 370 Philippines
    Telephone: (078) 321-2221 ext. 122; Telefax: (078) 321-2117; Mobile No.: 0936-286-7269
    Saint Mary’s University
    SCHOOL OF HEALTH and NATURALSCIENCES
    Nursing Department
    Bayombong, Nueva Vizcaya

    List of Patients

    Room 1

    Bed 1 Viavian Darsana 50 yers old, Accute Myocardial Infarction, PNSS1L x KVO, NPO,

    Bed 2 Rolina Ducusin 60 years old HPN II D5NSS IL x 16 hours LSLF

    Bed 3 Gigi Arlong 49 years old DM II PNSS IL x 12 hours on diabetic diet

     Make an Endorsement form and make 2 medication cards suitable for their cases.

    1st Floor, Constant Jurgens (UB) Building


    Saint Mary’s University, Ponce St., Bayombong, Nueva Vizcaya, 370 Philippines
    Telephone: (078) 321-2221 ext. 122; Telefax: (078) 321-2117; Mobile No.: 0936-286-7269

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