Comparative Analysis of Nursing and Pharmacological Management in Myocardial Infarction Over Two Decades
Question 1
Research the changes to nursing and pharmacological management for suspected 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 in the 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.
Question 2: Part A
Considering the observations that you have just taken on Sally-Anne and the A-E approach, explore the top two priorities.
***Your answer can include nursing interventions, diagnostic tests, and medical orders/interventions.
Examine the pathophysiology changes of Sally-Anne's COPD. In your answer analyse and evaluate how you will measure the effectiveness of your chosen two priorities.
Use up-to-date evidence-based practices to support your answer.
Ensure that you link your information to the case study.
See the marking rubric for explicit details.
Question 2: Part B
Differentiate the diagnosis of Exacerbation of COPD vs Pneumonia.
Analyse two diagnostic tests that would assist with the diagnosis and treatment of Sally-Anne.
Evaluate pharmacology knowledge and examine one medication 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.
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