Nursing Assessment for Acute Myocardial Infarction (AMI) - Primary

Nursing Assessment for Acute Myocardial Infarction (AMI)


Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, is the interruption of blood supply to a part of the heart, causing heart cells to die. This is most commonly due to occlusion (blockage) of a coronary artery following the rupture of a vulnerable atherosclerotic plaque, which is an unstable collection of lipids (fatty acids) and white blood cells (especially macrophages) in the wall of an artery. The resulting ischemia (restriction in blood supply) and oxygen shortage, if left untreated for a sufficient period of time, can cause damage or death (infarction) of heart muscle tissue (myocardium).
wikipedia


Primary Assessment needs to be done on the Nursing Care Plan for Acute Myocardial Infarction (AMI), among others:

Airways

1. Blockage or accumulation of secretions
2. Wheezing or crackles

Breathing

1. Shortness of breath with mild activity or rest
2. Respiration more than 24 x / min, irregular rhythm shallow
3. Ronchi, crackles
4. The expansion of the chest is not full
5. Use of auxiliary respiratory muscles

Circulation

1. Weak pulse, irregular
2. Tachycardia
3. Blood pressure increase / decrease
4. Edema
5. Nervous
6. Acral cold
7. Pale skin, cyanosis
8. Decreased urine output

Labels: Nursing Assessment for Acute Myocardial Infarction (AMI) - Primary