HEART ATTACK PATIENT: CARE
shift. Secondly, the patient will manage posture, facial expressions, gestures, and activity levels
that reflect decreased distress after 4 hours.
Nursing interventions: The RN will assess the patient’s level of depression and physical
reactions to the concern. Symptoms evaluated are mood, tension, fear, insomnia, concentration,
worry, depressed mood, somatic complaints, and cardiovascular, respiratory, gastrointestinal,
genitourinary, autonomic, and behavioral symptoms. Secondly, the RN will explain all activities,
procedures, and issues that involve the client; the RN will use nonmedical terms and calm, slow
speech in advance of methods and validate the patient's understanding every shift. Thirdly, the
RN will use therapeutic touch, healing touch techniques and use empathy to encourage the client
to interpret the depression symptoms as normal before the end of the shift.
Routine Nursing Management
Roles were limited to monitoring, interpreting response results, general patient care, and
patient education. Most importantly, spending significant time with the patient helps to analyze
and interpret the situation correctly which helps in sound medical decisions. In testing
procedures, I was responsible for assessing the patients’ problem level and physical reactions
that stem from subsequent treatment. In particular, I was involved in monitoring orthostatic
blood pressures and daily weights in every shift. I could also watch laboratory data carefully,
especially when applying arterial blood gasses. Other duties included analysis and explanations
where I could explain all activities, procedures, and issues that involve the patient to others.
Major observations in Intervention and Management
Firstly, as an intervention, an oxygen saturation of less than 88% (normal: 95% to 100%)
or a partial pressure of oxygen of less than 55 mm Hg (normal: 80 to 100 mm Hg) indicates