Help with outcome for Myoacardial Infarction

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This is my first rotation on a CTSU and my patient had a non ST elevated MI and angina as MDs. I have decided on acute pain, ineffective tissue perfusion, and risk for decreased cardiac output for my top 3 NDs. But I am having trouble coming up with measurable outcomes for all of them. I have a huge lack of experience in this area and am just learning about the diagnoses themselves so I'm not sure what exactly would be a reasonable outcome. I thought about having a decreased pain level, but the only other things i can think of is for them to not have another MI or have a BP in the normal range. But I'm just not sure. I am doing research now on how these diagnoses effect the vital signs and things so I can figure out what outcome to go with. But would appreciate a little direction.

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Also if anyone knows a good source for pathophsyiology of this specific type of MI I would appreciate it. My book doesn't have anything, at least not that I have found yet.

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Specializes in Home health.
Also if anyone knows a good source for pathophsyiology of this specific type of MI I would appreciate it. My book doesn't have anything at least not that I have found yet.[/quote']

When doing care plans I found a nursing care plan book to be very helpful. There are many available on amazon and other places. I used one by gulanick. Some examples for outcomes could be for ineffective tissue perfusion

Patient maintains optimal tissue perfusion aeb +2 peripheral pulses, reduction or absence of pain, warm and dry extremities, cap refill

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THanks. I would love the ISBN. I have a nursing diagnosis book but the outcomes are not very helpful. And thank you for the hints.

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Their urine will always be the big indicator of good cardiac output. If urine is being made, the kidneys are being perfused.

Do they have any lines? You can use CVP & MAP. (Central venous pressure) & (mean arterial pressure).

What about their cap refill?

I'm an SN, so any RNs or fellow SNs please correct me if I'm wrong in the above.. (:

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Specializes in Home health.
THanks. I would love the ISBN. I have a nursing diagnosis book but the outcomes are not very helpful. And thank you for the hints.

Mine is 7th edition not sure if there's a new one that came out. Isbn is 978-0-323-06537-5. My instructor recommended this book when I was in my first semester. Not only does this book have care plans for separate nursing diagnosis but also has nursing care plans for specific illnesses :-)

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thank you

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You are awesome. I knew it would need to include those but wasn't sure on the measurements for it. Thank you!

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Specializes in Home health.
You are awesome. I knew it would need to include those but wasn't sure on the measurements for it. Thank you!

You are very welcome! I'm always happy to help :-)

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