The article entitled “Acute Coronary Syndrome. ” written by Kristen J. Overbaugh. is a really enlightening piece that encourages all nurses to be able to efficaciously place the marks and symptoms. every bit good as be informed of the interventions involved within the set of diseases that this syndrome entails. I chose this article in peculiar because coronary arteria disease is the figure one disease in our state. and everyone that works in the wellness field should cognize at least the rudimentss involved in acknowledging the marks and symptoms in a patient. even if they are non qualified to “make the diagnosing. ” Knowing what to look for in a patient. and being able to go through the information on to other members on the medical squad will assist the patient to have the optimal attention in an efficient clip frame. which is of import to salvage bosom musculus.
The article goes into item depicting which diseases are considered to be in the class of acute coronary syndrome. Besides it gives really chilling statistics such as “One adult female or adult male experiences a coronary arteria disease event about every 2. 5 seconds…” ( Overbaugh. 2009. p. 42 ) . That figure entirely should be a wakeup call to all Americans to get down afresh. although it is more of an optimistic dream instead than a world.
Ms. Overbaugh is really thorough. traveling through hazard factors. pathophysiology. marks and symptoms. and assorted intervention options. depending on the patterned advance of the disease and the single patient’s demands. What I am really glad to see. is that she has besides included in her article the untypical marks and symptoms that are experienced by adult females during sing a myocardial infarction. These symptoms include shortness of breath. weariness. lassitude. dyspepsia and anxiousness right before an ague MI ( Overbaugh. 2009 p. 45 ) . Besides. it goes on to advert that adult females typically see a numb or prickling experiencing in their dorsum instead than in the thorax. every bit would a adult male may experience. I feel that this explains what is different in a female patient that is showing symptoms. and to cognize what to look for is imperative to that patient’s endurance. Harmonizing to our Medical surgical text edition. “Although adult females and work forces have more similarities in their symptoms of an ague MI than differences. some adult females may see untypical uncomfortableness. shortness of breath. or fatigue” ( Lewis. Heitkemper. Dirksen. 2007. p. 804 ) .
This seems to me to understating the differences that work forces and adult females really see during or merely prior to an MI. I believe this is why adult females do be given to non have the same attending and attention to their symptoms. because they are being identified as being “typically the same. ” Besides of importance to larn. is what the initial intervention for person showing with symptoms of angina. an MI. or person at all sing cardiac symptoms. The acronym “MONA” is really effectual to retrieve in instances when the health professional may be holding trouble remembering the necessary initial interventions involved. ( A ) Aspirin. 162-325mg should be given by oral cavity. unless contraindicated. ( O ) O therapy to be started 2 to 4 L/min to maintain the patients SaO2 degree greater than 90 % . ( N ) nitroglycerin tablets every 5 proceedingss. up to 3 doses. and ( M ) morphia if the patient’s hurting is non alleviated by the disposal of the glyceryl trinitrate.
As the writer provinces. the acronym is non needfully in the order that the interventions should be given. but retrieving what is involved is the first measure in intervention. Having early intercession is the cardinal to patient endurance and cut downing farther complications of the disease episode. and loss of bosom musculus map. Our text edition besides mentions these intercessions. but merely explains that these are often administered in the exigency section. I feel that all nursing forces should be cognizant of what to make if their patient does present with these symptoms. because they may non needfully in the exigency section when an episode occurs.
They could be on any floor of the infirmary. or in a doctor’s office or installation. Being made aware of what is traveling on and what to make is really of import in a nurses’ line of work. There are much more information in this article than I could cover in this study. but I have chosen a twosome of subjects that I thought is of importance from a student’s point of view. I would wish to be optimally prepared to take attention of any patient that may traverse my way. even though I may non cognize everything at that place is to cognize. any acquired cognition may one twenty-four hours lend to salvaging a life.
Lewis. S. L. . McClean Heitkemper. M. . & A ; Dirksen. S. R. ( 2007 ) . Medical Surgical Nursing Assessment and Management of Clinical Problems. St. Louis. Show me state: Mosby Elsvier. Overbaugh. MSN. RN. APRN-BC. K. J. ( 2008 ) . Acute
Coronary Syndrome. American Journal of Nursing. 109 ( 5 ) . 42-52.