NR 305 Week 4 Discussion – Community Access to Mental Health Services I feel that based on Mrs. Jackson’s symptoms, she may be having a heart attack or a myocardial infarction (MI).

The first thing that I would do to prevent further decline is call her doctor to report her symptoms and notify her/him of possible symptoms of MI. During a heart attack, women usually report extreme fatigue and flu-like symptoms (Jarvis, 2016). We would need to relieve any pain she is having, stabilize her heart rhythm, reduce cardiac workload, revascularize the coronary artery, and preserve myocardial tissue. Continue to monitor and document characteristics of pain, verbal reports, nonverbal cues, blood pressure, or heart rate changes, and check vitals before and after the narcotic is given. Instruct Mrs. Jackson to do relaxation techniques and to report changes in pain level immediately. Increasing the amount of O2 will reduce ischemia, so giving supplemental O2 is key. If her MD prescribes antianginal, Beta-blockers, Antiplatelets, or Anticoagulants, we will give them as needed. We want Mrs. Jackson to demonstrate an increased intolerance for activity with her BP and HR within normal limits. Auscultate heart sounds and breath sounds. Monitor HR and rhythm and document dysrhythmias via telemetry. Monitoring her I&O’s to calcite fluid balance and inspecting the skin for decreased skin perfusion or diminished pulses. Monitor any labs ordered. Since we identified Mrs. Jackson was in tears, we want to recognize her feelings and reduce anxiety or fear. Answer any questions that she may have and provide consistent information. To prevent further decline, she will be able to identify problems, verbalize her feelings and demonstrate positive problem-solving skills.