Independent nursing interventions for MI patient

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Specializes in Critical care (coronary care).

People may experience many different symptoms when they have a problem with the blood vessels in their heart especialy MI. as a nurse, what intervetion must be done in emergency department? I emphasis, AS A Nurse.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Thread moved for better response by emergency nurses.

Poster is from Iran and looking for input from other nurses/countries.

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Specializes in Emergency, Med/Surg, Vascular Access.

O2 BNC (usu. 2 L), ASA 325 mg, 2 large-bore INTs, cardiac/BP/SpO2 monitor, EKG (obviously), shave groin for cath lab, NTG (if covered by the ER's protocol). Those are the independent interventions I can think of. You'll probably end up giving heparin and metoprolol as well, but not without an order.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

many of the emergency deaprtment in the us follow tha american heart guidelines for ami and utilize acls protocols ofr the treatment of the stemi (st-elevationmi)[color=#1122cc]chapter 4 acls protocols

http://resqed.com/jim//pdfs/chapter4.pdf

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Specializes in Critical care (coronary care).

if needed, Who check the criteria for infusion of thrombolitics?

are nurses has authority for evaluating this criterias?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

well the nurses can obtain this information, the md has to fill out the "paper work" and has the final say. the md orders for fibrinlysis and the nurse begins to follow the protocol......here are some examples of md orders you may find helpful

https://mail.rainylakemedical.com/orders/stemi.pdf

[color=#1122cc]acute coronary syndrome

http://www.hospitalmedicine.org/resourceroomredesign/rr_acs/pdf_acs/complete_acs_packet_bb.pdf

https://www.google.com/search?sourceid=navclient&ie=utf-8&rlz=1t4ggll_enus413us413&q=tpa+md+orders+for+stemi

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Specializes in Critical care (coronary care).

thank you for your perfect answers.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

YOu're welcome....:)

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