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    NCP Acute Pain

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    Nathalie kate petallar
    The patient presented with acute chest pain related to decreased myocardial oxygenation. The nursing goal was for the patient to experience relief from chest pain within 1 hour of interventions including monitoring vital signs, instructing the patient on pain management, and administering medications. Evaluations showed the patient's pain was relieved, blood pressure decreased, and they understood how to prevent further issues.

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    NCP Acute Pain

    Uploaded by

    Nathalie kate petallar
    311 views3 pages
    The patient presented with acute chest pain related to decreased myocardial oxygenation. The nursing goal was for the patient to experience relief from chest pain within 1 hour of interventions including monitoring vital signs, instructing the patient on pain management, and administering medications. Evaluations showed the patient's pain was relieved, blood pressure decreased, and they understood how to prevent further issues.

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    NCP ACUTE PAIN

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    The patient presented with acute chest pain related to decreased myocardial oxygenation. The nursing goal was for the patient to experience relief from chest pain within 1 hour of interventions including monitoring vital signs, instructing the patient on pain management, and administering medications. Evaluations showed the patient's pain was relieved, blood pressure decreased, and they understood how to prevent further issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    311 views3 pages

    NCP Acute Pain

    Uploaded by

    Nathalie kate petallar
    The patient presented with acute chest pain related to decreased myocardial oxygenation. The nursing goal was for the patient to experience relief from chest pain within 1 hour of interventions including monitoring vital signs, instructing the patient on pain management, and administering medications. Evaluations showed the patient's pain was relieved, blood pressure decreased, and they understood how to prevent further issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Assessment Nursing Nursing Goal Nursing Rationale Outcome Criteria Evaluation

    Diagnosis Intervention
    SUBJECTIVE Acute pain related After 1 hour of INDEPENDENT The patient will After 1 hour of
    to decreased nursing >Monitor and >May experience relief nursing
    -Verbal report of myocardial intervention, the report abnormal demonstrate of chest pain as intervention, the
    chest pain oxygenation patient will be ECG readings. abnormal findings evidenced by: patient was able
    radiating to both able to: associated with to:
    arms ischemia -verbalization of
    -Verbal report of -Report anginal reduced pain -Verbalized that
    having episodes episodes >Monitor and >Elevated values pain is relieved
    of transient decreased in report elevated may indicate -relaxed facial promptly
    substernal and frequency, cardiac enzymes myocardial expression and
    shoulder pain duration, and ischemia body positioning -Understand ways
    -Verbal report of severity to avoid
    use of >Instruct to notify >Unbearable pain -increased complications
    antihypertensive -Demonstrate nurse may cause participation in
    medications and relief of pain immediately when vasovagal activities -reduce BP from
    tobacco use chest pain occurs response, 180/100 to 120/80
    -Verbal report of -Have stable vital decreasing BP -Stable vital signs mmHg
    job stress signs and heart rate
    -Adhere to self-
    OBJECTIVE -verbalize relief >Assess reports care program and
    from restlessness of pain in jaw, >Cardiac pain verbalized
    -ST segment neck, or shoulder, may radiate response to
    depression and T arm or hand intervention.
    wave inversion
    -elevated cardiac >Place patient at
    isoenzymes complete bed rest >Reduces
    -Blood Pressure during angina myocardial
    of 180/100 mmHg attacks oxygen demand
    -diaphoresis to minimize risk of
    -Shortness of tissue/injury
    breath with RR of necrosis
    20 cpm
    -anxious >Elevate head of >Facilitates gas
    patient if exchange to
    shortness of decrease hypoxia
    breath occurs
    >Mental or
    >Maintain quiet emotional stress
    and comfortable increases
    environment myocardial
    workload

    DEPENDENT
    >Administer >Nitrates dilate
    nitroglycerin as the coronary and
    ordered and peripheral blood
    maintain oxygen vessels, thereby
    therapy as improving
    ordered myocardial blood
    flow and reducing
    cardiac workload
    and myocardial
    oxygen
    consumption

    >Administer >Help alleviate


    opioid analgesic pain and anxiety,
    as ordered lower BP, and
    decrease
    myocardial
    oxygen
    consumption
    COLLABORATIV
    E
    >Consulting
    >Consult appropriate health
    physician of care provider
    pain/discomfort
    persists or allows for
    worsens. modification of
    the treatment
    plan.

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