myocardial infarction?

Question

what can be the diagnostic testing and nurseing processes for myocardial infarction pt's

Answer 1

Registered Nurse Here; Okay now i"m not sure I understand your question. I believe your asking how a MI is diagnosed and the nursing measures for MI. Hope this is correct, 1.) A myocardial infraction can be diagnosed in several ways, a 12 lead EKG, Cardiac Enzymes, Sonogram, balloon pump under fluorescent lighting, (of a x-ray machine). The nursing care, is to relieve as much oxygen requirement as possible to the heart. For instance: No execration, bathing patient so they do use extra O2 and strain the heart more, bed rest, pain medication. Basically be supportive, administrator medications as ordered by your physician, and relieve the heart of as much work as possible. Collateral circulation, this is where blood vessels, create a network and work around the myocardial infraction which is dead muscle tissue. The collateral circulation is done by the body and begins immediately with blood vessel network, to work around necrotic tissue damage. The human body can be an amazing mystery.

Answer 2

Diagnostic tests, such as EKG, cardiac enzymes (blood tests, which will be elevated in the case of a heart attack) and also cardiac catheterization, where the doctor will look at the vessels of the heart under flouroscopy to see which vesseks are blocked. Sometimes when the MD does a heart cath, he will be able to put a stent in the blocked vessel, which is a litte metal screen that opens up the blockage. If the doctor cannot open up a vessel, and the blockage is big enough, the person may need bypass surgery. A nurses job is to watch for EKG changes, administer oxygen and nitroglycerin or any other meds the MD has ordered. Typically the patient is going to get some sort of blood thinner like aspirin or plavix. Pain control with morphine is sometimes used.

Answer 3

As a cardiac cath lab tech, MI can be diagnosed by (as someone said), cardiac enzymes (blood test), stress test, echo (cardiac ultrasound), CT Coronary Angiography (CAT Scan), MRI Coronary Angiography (another scan, not as good as CT), but the gold standard is still Cardiac Cath. In Acute MI (AMI), or heart attack, the 12-lead is followed by cardiac enzymes followed by Cardiac cath. The American Heart Association standard in AMI is 90 minutes from the time you enter the ER until you are in the cath lab having an angioplasty (balloon) or stent placement.

Answer 4

Diagnostic testing is blood work called enzymes. When you've had an MI your body produces certain chemicals that actually help you.
13 lead EKGs.
Processes are bed rest, medication, and a low salt low fat diet.

Answer 5

stress testing ,heart scans,it depends on the degree of the infarction