The reporter describes the case of Mrs. Brown who is suffering from a condition known as Angina which occurs as a result of inadequate supply of oxygen to the parts of the heart. The patient experiences acute pain in the chest which lasts for about fifteen minutes a characteristic common with the patients of Angina…
This essay is, therefore, going to elaborate on the nursing problems in Mrs. Brown’s case as well as the nursing interventions for each problem illustrated (Anderson 2007).
The patient’s first problem is the acute pain in the chest which she rates it at a scale of 9/10. This problem relates to the patient since the symptoms that the patient narrates are the characteristics of Angina. The patient points out that she is sweaty and that she feels an extreme pain in the chest which feels like someone was squeezing out on her chest. The patient’s history of hypertension implies that she has a problem with the circulation of blood in her body due to the narrowing of the airways. The two main priority interventions for this problem are the administering of nitroglycerin to the patient to relieve the acute pain and encouraging deep breathing and coughing exercises (Johnson 2008). Before embarking on any intervention, a nurse should be able to establish the history of the patient in order to match the patient’s condition with the symptoms that she depicts. This will help the nurse in making the right diagnosis for the patient. The baseline information that was obtained by the nurse in the case of Mrs. Brown will include the weight, blood pressure, pulse rate and respiration rate. This information helped the nurse to come to a conclusion that Mrs. Brown really suffered from Angina and Hypertension (Ang, et al., 2009).
Cameron (2011) points out that when the patient is administered with a dose of nitroglycerin, the action of this medicine will help to dilate the coronary arteries and instantly increase the venous pooling consequently reducing the rate at which oxygen is used in the body as well as the myocardial preload. The pain that is experienced by Mrs. Rose is due to the lack of enough oxygen supply to the heart making her have a feeling of squeezing in the heart. This drug will help in the redistribution of blood to the area of the heart muscle (Blackwood 2009). The administering of the drug should be started in the ED sublingually or by using a spray after every five minutes for three doses. ...
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The author explains that angina pectoris is a symptom defined by the patient in his own words. This condition can often cause changes like ST depression on EKG strip but very often angina pectoris can occur without any changes on the ECG strip. Methods for confirmation of angina pectoris are often unavailable in pre-hospital settings.
Acute pain in children In the last decade, the practice pediatric pain management has recorded changes following the inventions of pain management equipment specifically for pediatric patients. Prior to that, assessment and treatment of the pediatric patients faced many changes such as lack of clinical knowledge, fear of side effects, inadequate research, and addiction.
The frequency of the symptom has not made things any easier where accurate diagnosis is concerned. The range of diagnoses varies from simple muscle strain to life-threatening illnesses like aortic aneurysm and myocardial infarction. Evaluating the cause is the first step towards management.
Therefore, I can add that from my clinical experience in Kuwait, I believe that pain assessment is very weak and not clear. Nursing in Kuwait is under development and there are only one or two persons with a PHD in Nursing in Kuwait.
The authors have clearly explained the state of the art in acute pain management. The report gives authoritative and relevant information, useful for pain medicine physicians and health care practitioners in out patient clinics as well as in hospital
It can also radiate to the epigastrium, back, neck, jaw, or shoulders. The discomfort can be precipitated by physical exertion, eating, exposure to cold, or emotional stress (Alaeddini, 2006). It lasts for about 1 to 5 minutes and is typically relieved by
he hospital, therefore, communities should develop programs to respond to cardiac emergencies that include the prompt recognition of ACS symptoms by patients and their companions as well as by healthcare and public safety providers.
1. Acute coronary syndromes are medical
Patients would require chest tube draining after injuries in case fluid or air accumulates in their pleural cavity. Chest tube is thus recommended for treatment of hemothorax and pneumothorax or pleural effusion.