Nursing care for NSTEMI patiens with decreased cardiac output in the emergency room (ER) of Dr. Sardjito Hospital
Keywords:
decreased cardiac output, ineffective breathing pattern, NSTEMI, nursing careAbstract
NSTEMI (Non-ST Elevation Myocardial Infarction) is a form of acute coronary syndrome characterized by chest pain, ECG changes, and elevated cardiac biomarkers without ST segment elevation. Decreased cardiac output and ineffective breathing patterns are common complications that require rapid nursing intervention. This study used a descriptive analytical design with a case study approach on a 59-year-old female patient in the emergency room of Dr. Sardjito General Hospital in Yogyakarta. Data were collected through interviews, observations, physical examinations, and medical documents. The nursing diagnoses established were decreased cardiac output related to changes in myocardial contractility and ineffective breathing pattern related to breathing effort impairment. Interventions included monitoring vital signs, cardiac auscultation, ECG monitoring, and oxygen administration through a 2–3 L/min nasal cannula. Evaluation showed hemodynamic stability, increased oxygen saturation to 97%, reduced use of accessory breathing muscles, and decreased pain from a scale of 7 to 5. These results emphasize the importance of timely nursing interventions to improve oxygenation and prevent complications in NSTEMI patients.
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