Registered Nurse RN

Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Join the nursing revolution.

  • RN
    • Nursing Clinical Skills
  • Nursing Videos
  • Blog
  • Nursing School
  • Nursing Care Plans
  • Nursing Quizzes
  • Nursing
  • Nursing Jobs
  • NCLEX Review
  • Store

Nursing Care Plan, Diagnosis, Interventions for Chest Pain, Myocardial Infarction, MI, Heart Attack, Acute Pain

This premade nursing care plan diagnosis, and interventions for the following conditions: Chest Pain, Myocardial Infarction, MI, Heart Attack, and Acute Pain

What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?

This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.

Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.

Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.

Nursing Care Plan for: Chest Pain, Myocardial Infarction, MI, Heart Attack, and Acute Pain

If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.

Scenario:

A 55 year old male comes into the ER with complaints of 9 on 1-10 scale chest pain that radiates from breast bone to left arm and up to his jaw. Pt states it started 6 hours ago and he thought that he was having heart burn but it has got worse and he is now experiencing shortness of breath on the littlest activity. He states he father died of a heart attack 10 years ago. VS: HR 101, BP 186/101, O2 Sat 95% on RA, RR 22, and Temp 98.6. Pt is given Nitroglycerin 0.4mg Sublingual x 1 Tab, 2 mg of Morphine, and placed on 2 L nasal cannula. Lovenox 1mg/kg subq is order as well and this is given. 1st set of Troponins are 2.58. Cardiology is consulted and pt is kept NPO pending heart cath if order by cardiology. EKG shows slight ST elevation. Pt states his chest pain is now an 8 on 1-10 scale and states the pain is still there. It has been 5 minutes since his last Sublingual Nitroglycerin and BP 176/98 and HR 100 so you give the pt another sublingual nitroglycerin.

Nursing Diagnosis:

Acute pain related to myocardial ischemia as evidence by patient rating pain 9 on 1-10 scale in chest, troponin levels 2.58, and, EKG ST elevation.

Subjective Data:

A 55 year old male comes into the ER with complaints of 9 on 1-10 scale chest pain that radiates from breast bone to left arm and up to his jaw. Pt states it started 6 hours ago and he thought that he was having heart burn but it has got worse and he is now experiencing shortness of breath on the littlest activity. He states he father died of a heart attack 10 years ago.  Pt states his chest pain is now an 8 on 1-10 scale and states the pain is still there.

Objective Data:

VS: HR 101, BP 186/101, O2 Sat 95% on RA, RR 22, and Temp 98.6. Pt is given Nitroglycerin 0.4mg Sublingual x 1 Tab, 2 mg of Morphine, and placed on 2 L nasal cannula. Lovenox 1mg/kg subq is order as well and this is given. 1st set of Troponins are 2.58. Cardiology is consulted and pt is kept NPO pending heart cath if order by cardiology. EKG shows slight ST elevation. It has been 5 minutes since his last Sublingual Nitroglycerin and BP 176/98 and HR 100 so you give the pt another sublingual nitroglycerin.

Nursing Outcomes:

-The patient will report a decrease in his chest pain by rating his chest pain less 3 on 1-10 scale.-Troponins levels will be drawn every 6 hours times 3 times and any abnormal values will be report to the Cardiologist immediately per md order.

-Pt will maintain Normal Sinus Rhythm during hospitalization.

-Pt SBP will be greater than or equal to 110-130 and HR 60-100 during hospitalization.

Nursing Interventions:

-Pt VS will be monitored every 30 minutes by the nurse.-Nurse will assess patient chest pain every hour and educate the patient on reporting an increase in chest discomfort to the nurse immediately.

-Troponins levels will be drawn at 0200, 0800, and 1400 per md order.
-Nurse will administered Nitroglycerin 0.4mg Sublingual every 5 minutes for chest pain until relieved.

-Nurse will obtain an EKG when patient reports chest pain level and report any ST elevation to the MD

Please Share:

  • Click to print (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on Twitter (Opens in new window)
  • Click to share on Pinterest (Opens in new window)
  • More
  • Click to share on Reddit (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)
  • Click to share on WhatsApp (Opens in new window)
  • Click to share on Pocket (Opens in new window)
  • Click to share on Telegram (Opens in new window)
  • Click to share on Skype (Opens in new window)
Nursing Gear

RSS Latest YouTube Videos

  • Do Nurses Really Need to Know This?
  • This Vein is Going to Roll... Nurse IV Insertion Tips #shorts
  • Nursing Graduation Spring Class of 2022: Congratulations!!
  • 6 Reasons to Become a Nurse #shorts

Recent Posts

  • Sinus Tachycardia ECG/EKG Rhythm Nursing Review
  • Sinus Tachycardia ECG/EKG Rhythm Quiz
  • Crying in Nursing School
  • Desired over Have by Weight Examples Dosage Calculations
  • Tablets and Capsules Dosage Calculations (Desired over Have Method)

Disclosure and Privacy Policy

This website provides entertainment value only, not medical advice or nursing protocols. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. See our full disclosure and privacy policy. Copyright Notice: Do not copy this site, articles, images, or its contents without permission.

Important Links

  • Advertise
  • Contact Us

Follow Us on Social Media

  • Facebook Nursing
  • Instagram Nursing
  • TikTok Nurse
  • Twitter Nursing
  • YouTube Nursing

Get Free Email Updates:

Enter your email address below and hit "Submit" to receive free email updates and nursing tips.

Copyright © 2022 RegisteredNurseRN.com. All Rights Reserved.