Nursing Interventions for Acute Coronary Syndrome: Acute Pain
Acute coronary syndrome (ACS) is a cardiac emergency with clinical manifestations of chest discomfort or other symptoms due to myocardial ischemia. Acute coronary syndrome consisting of unstable angina pectoris, acute myocardial infarction accompanied by ST segment elevation. Patients with myocardial infarction without ST elevation. Acute coronary syndrome defined as a clinical manifestation of coronary artery disease. Coronary heart disease (CHD) is a major manifestation of the atherosclerotic process.
Nursing Diagnosis : Acute Pain
Defining characteristics:
- Saying pain verbally and non-verbally.
- Position to reduce pain.
- Movement to protect.
- Sleep disorders.
- Changes in appetite.
- Autonomic response in the autonomic changes in muscle tone.
NIC
Outcomes:
- Pain control.
- The level of comfort.
- Pain bullies.
- Pain level.
NOC
1. Pain Management
- Perform a comprehensive pain assessment starts from the location, characteristics, duration, frequency, quality, intensity and causes.
- Assess nonverbal discomfort.
- Ensure patients receive treatment with analgesics.
- Consider the influence of culture on pain responses.
- Determine the impact of pain on daily life.
- Use ways to control pain before it becomes painful.
- Modification of the method of pain control in accordance with the patient's response.
- Encourage adequate rest to lessen the pain.
- Encourage the patient to discuss the experience of the pain.
- Control of environmental factors that can cause discomfort to the patient.
- Select a variation of the size of the treatment.
2. Giving Analgesics
- Determine the location, characteristics, quality, and great pain before treating patients.
- Check the order of the drug, the dose and frequency of analgesic administered.
- Select the appropriate analgesic.
- Determine the preferred analgesic, route of administration and dose to achieve optimal analgesia.
- Monitor vital signs before and after drug administration.
- Give analgesics and treatment when needed analgesia or potential.
- Consider the use of continuous infusion.
- Safety precautions for patients receiving analgesics.
- Instructed to ask for pain medication before the pain becomes severe.
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