A patient is admitted to the emergency department with clinical indications of an acute myocardial infarction.Symptoms began 3 hours ago.The facility does not have the capability for percutaneous coronary intervention.Given this scenario,what is the priority intervention in the treatment and nursing management of this patient?
A) Administer thrombolytic therapy unless contraindicated
B) Diurese aggressively and monitor daily weight
C) Keep oxygen saturation levels at least 88%
D) Maintain heart rate above 100 beats/min

Question

Quizplus · Accepted Answer

Medical treatment of AMI is aimed at relieving pain,providing adequate oxygenation to the myocardium,preventing platelet aggregation,and restoring blood flow to the myocardium through thrombolytic therapy or acute interventional therapy such as angioplasty.Since interventional cardiology is not available,thrombolytic therapy is indicated.Oxygen saturation should be maintained at higher levels to ensure adequate oxygenation to the heart muscle.An elevated heart rate increases oxygen demands and should be avoided.Diuresis is not indicated with this scenario.

A Patient Is Admitted to the Emergency Department with Clinical