I've been using AllNurses since I began in nursing school but this is my first post. I had a patient in clinical this week and my priority diagnosis isn't completely clear to me.
This elderly patient was in the CCU after an AMI with CHF ~ 45 days prior, history of hypertension, diabetes, family Hx of heart disease. He has a trach/vent in place and appears to be unable to wean due to the potential for right side heart failure.
His heart is the problem. He's on the vent because his heart can't handle the increased workload, SO, I'm thinking Decreased Cardiac Output as my priority, but they've drilled ABC's into our brains so many times a little voice is telling me "B comes before C," but it's the heart, not lungs, that are the real issue. Right?
Also, could I simlpy use AEB AMI, and ventilator dependency? Your insights are appreciated.