With this Nurses’ play an important role as health guide that improve the totality of patient outcome for better prognosis and continuous recovery. Acording to Anderson et al. 2007), NTEMI constitute a clinical syndrome subset of Acute Coronary Syndrome that is usually caused by Cardiovascular Atherosclerotic Disease and is associated with increased risk of cardiac death and subsequent myocardial infarction. It is defined by the electrocardiographic ST segment depression or prominent T wave inversion and positive biomarkers of necrosis in the absence of ST-segment elevation and in an setting such as chest discomfort (Anderson et al.
2007; Klra et al. Aute coronary syndrome starts when platelet aggregates clump together and forms a thrombi from a ruptured arteriosclerotic plaque. Once the clot occludes the vessels for more than 20 minutes, te myocardial tissue becomes necrotic due to the occlusion (Smeltzer et al. 2009; Wite et al. Due to this the heart will not be able to pump enough blood to vital organs and tissues leading to shock and eventually death. Cest pain in NSTEMI lasts longer and is than the pain of unstable angina and can lasts for 15 minutes if not treated with rest or nitro-glycerine.
The pain may or may not radiate to the arm, nck, bck or epigastric area and may also experience dyspnoea, daphoresis, nusea, ad dizziness (Jevon et al. Women experiencing ACS may experience misleading symptoms of indigestion, plpitations, nusea, nmbness in the hands, ad fatigue rather than chest pain (Overbaugh 2009)The US Department of Health & Human Services (2010) have cited and summarized the guidelines for management and treatment for in early management of NSTEMI.
The provision of information under the said guideline is to offer patients clear information about the risks and benefits of treatment. Mreover, asessment of a patient’s risk of future adverse cardiovascular events should include: fll clinical history to note on the familial risks that can aggravate the chances or risks of having the disease or recurrence; cmplete and detailed physical examination; 12-lead ECG and blood tests for cardiac markers to confirm the diagnosis for further management (US Department of Health & Human Services Rsk assessment be used to guide clinical management (US Department of Health & Human Services. ..
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