Below is an extract from a 2003 textbook for thepatient management ofa suspected Myocardial Infarction.
Below is an extract from a 2003 textbook for thepatient management ofa suspected Myocardial Infarction.
Sheehy, S. B., & Newberry, L. (2003). Sheehy's emergency nursing: principles and practice (5th ed. ed.). Mosby.
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Question 1
Researchthe changes tonursing and pharmacological management forsuspected myocardial infarction (MI) over the past twenty years. Have the changes improved patient outcomes?
Find a recent (less than 5 years) Australian MI pathway/guideline and attach it in LMS. (Label as Appendix A)
Analyse the nursing approaches outlined in the 2003 textbook extract and compare them with a current best-practice guideline/pathway for a suspected MI (Myocardial Infarction). Investigate both the changes and the elements that have stayed the same. What are the underlying reasons for these changes or continuities? Ensure your answer includes an analysis of how the pathophysiology of an MI is related to the changes.
Analyse the pharmacological approaches employed twenty years ago inthe 2003 textbook extract with current MI best-practice guidelines for suspected myocardial infarction (MI).Explore both the changes that have occurred and the aspects that have remained consistent with your up-to-date guideline. Delve into the underlying reasons for these alterations or continuities. Incorporate a detailed analysis of pharmacodynamics and pharmacokinetics.
Apply critical thinking skills to assess the rationale and justify your argument using evidenced-based nursing practices and credible sources.
1000 Words
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CASE STUDY:
Sally-Anne is a 67-year-old female. She lives at home alone with her Russian Blue cat Willow. Sally-Annehas two children however they both live in interstates. Her NOK is her next-door neighbour, Fiona. Sally-Annesmoked for 40 years and now has a diagnosis of COPD. Sally-Annehas had 2 falls in the last week. Shewas diagnosed withhypertension (approximately 20 years ago) and COPD (8 years ago).
Hercurrent medications are:
Atorvastatin 10 mg daily.
Salbutamol 200 mcg (2 puffs) every 4 hours when required.
Spiriva 1 capsule (10mcg)inhaled daily.
Pulmicort Turbuhaler (100microg) 2 inhalations twice daily.
Sally-Annehas recently been experiencing a persistent cough throughout the day. This cough is producing large amounts of sputum. She is feeling more SOB on exertion.In the last 4hrs, Sally-Annehas noticed she is unable to walk and is now talking in broken sentences. Sally-Annephoned 000 and was taken to emergency.
On arrival, you receive the above handover from the paramedics. You take her observations and complete the emergency Adds Chart below:
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Question 2: Part A
Considering the observations that you have just taken on Sally-Anne and the A-E approach, explore the toptwopriorities.
***Your answer can include nursing interventions, diagnostic tests, and medical orders/interventions.
Examine the pathophysiology changes of Sally-Anne'sCOPD. In your answer analyse and evaluate how you will measure the effectiveness of your chosen twopriorities.
Use up-to-date evidence-based practicesto support your answer.
Ensure that you link your information to the case study.
See the marking rubric for explicit details.
500 Words
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Question 2: Part B
Differentiate the diagnosis of Exacerbation of COPD vs Pneumonia.
Analysetwo diagnostic tests that would assist with the diagnosis and treatment of Sally-Anne.
Evaluate pharmacology knowledge and examine onemedication you would give to Sally-Anne to assist her breathing.
Use your critical thinking and support your answer with evidence-based nursing.
Ensure that you link your information to the case study.
See the marking rubric for explicit details.
500 words
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