Quote from misschiatia
Possible nursing dx's could include. Impaired gas exchange, altered tissue perfusion, Acute pain, fear anxiety, and knowledge deficit related to that dx. These are all from the books list of accepted nursing dx's. Take your pick. Dont forget the part about : Nursing dx RELATED TO (MI) as evidenced by(list yyour symptoms).
I just wanted to say that Impaired gas exchange may not always be correct for an MI unless the damage is so severe that it is causing a problem with the actual gas exchange that takes place in the lungs. The MI isn't impairing the gas exchange that happens in the capillary bed of the lungs, unless there is enough left sided heart damage which decreases the cardiac output and causes pulmonary edema. If they are having shortness of breath due to the pain or anxiety, then the correct nursing Dx would be "Ineffective Breathing Pattern."
And you wouldn't want to say "related to MI." because that is the medical Dx. An example would be Decreased cardiac output related to ventricular ischemia/damage AEB and then list your physical assessment findings that support the Dx. Or my example above: Impaired gas exchange r/t pulmonary edema secondary to decreased cardiac output, AEB fill in the blank here (ex. adventitious breath sounds, SpO2 = xx%, pt complaint of SOB, etc.).
Or another unrelated example. This is one I used for a newborn that was hypoglycemic after birth, because the mother was diabetic.
Risk for unstable blood glucose R/T increased glucose metabolism secondary to hyperinsulinemia AEB blood glucose levels < 45mg/dL.
Hope some of this helps the OP.