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The document outlines a lesson plan on Myocardial Infarction for nursing students, detailing objectives, teaching methods, and content coverage including definition, incidence, etiology, pathophysiology, clinical manifestations, diagnostic evaluations, and management strategies. It emphasizes the importance of nursing care and rehabilitation phases for patients with myocardial infarction. The lesson aims to equip students with the necessary knowledge and skills to care for patients experiencing this condition.

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0% found this document useful (0 votes)
19 views27 pages

question paper

The document outlines a lesson plan on Myocardial Infarction for nursing students, detailing objectives, teaching methods, and content coverage including definition, incidence, etiology, pathophysiology, clinical manifestations, diagnostic evaluations, and management strategies. It emphasizes the importance of nursing care and rehabilitation phases for patients with myocardial infarction. The lesson aims to equip students with the necessary knowledge and skills to care for patients experiencing this condition.

Uploaded by

nawikos874
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SRESAKTHIMAYEIL INSTITUTE OF NURSII RESEARCH LESSON PLAN ON MYOCARDIAL INFARCTION MEDICAL SURGICAL NURSING Gaunt » ‘ . WO 4) a ® Nameof the Lecturer: Prof Valamathik | Designation Me Nursing % Subject + Medical Surgical Nusing © Unk vi Topic + Myocardial Infretion Cass MSe(NURSING) year + Place Sesakhimayei Insts of Nursing Research # Time 10003 to 11.00 am Noofstudens 5 4 Previous Knowledge: Sidens are aware of antomy and physiology of Cardio vascular system & coronary cireulation ‘& Method of Feaching: Lecture cum Discussion ‘& Media of Instruction: Blackboard, Overhead projectors and chars & demonstration, GENERAL OBJECTIVE: [At the end of the teaching the student aro able to explain the definition, incidence, etiology, patho-physology, clinical manifestations, assessment, diagnostic ndings and management of Myocerdal Infarction and develop attitude and skills in proving cae to patients with Myocardial Infarction, SPECIFIC OBJECTIVE: Atthe end ofthe teaching, the students are able to ‘Define Myocardial Infarction, ‘Estimate the incidence of Myocardial Infarction. + Listthe eGology and risk factors of Myocardial Infrction, + Explain the patho-physology of Myocardial Infarction, + entity the signs and symptoms of Myocardial Infarction. “Menton the diagnostic evaluation of Myocardial Infarction Describe the Medical Managemen of Myocardial Infarction Diseuss the surgical management of Myocardial Infection Draw a Nursing cae plan for patient with Myocardial Infarction, ‘© Describe the phases of cardia rehabilitation, SNe] Speaiie” [Time Content AVAIDS] Evaluation Objective T | Toestabish | 7 | INTRODUCTION ABOUT report min | SELF ‘amongthe My Name is ValarmathiK, | students MiSe.NNursing Prot 2 | Toassess 1. | Question theprevious | min | 1. What do you mean knowledge byinfarction ? Teacher is asking the ‘ofthe group 2, How many chambers in| question and students thehoar? aregiving their point of 3, How will you explain | views bloodeirulation? Introduce | 2.__| Introduction: 3 |theconcept | mins | Myocardial infarction (Ml) is a | Teacher is introducing | Black Wnatis of process by which the the topic and students. | Board & PPT | Coronary Myocardial myocardial tissue is destroyed | arelisten carefully circulation? Infarction in regions of thehear that are ‘deprived of an adequate blood supply because of areduced coronary biood flow. The cause ‘ofthe reduced blood flow is either a ertical narrowing of the coronary artery du to atherosclerosis or a completo Define Myocarcia Naretion Estimate the Incidence of Myocardial Infarction Ust the eticlogy and Fisk factors of Myocardial Infarction. ‘ocalusion ofan artery dus to ‘embolus ofa thrombus. Decreased coronary blood flow ‘may also resultfrom shock and hemorrhage. In each case there is a profound imbalance between myocardial oxygen ‘supply and demand, DEFINITION: Myocardial Infarction ocours whenthere is ischemia (inadequate bloodtiow) to a part ‘of the heart that results in death of the myocardial cals. INCIDENCE: Itis estimated that there are 160,000 deaths with Myocardial infarction and 16,000 deaths occurevery year. ETIOLOGYIRISK FACTORS: |. Non- Modifiable Risk Factors: Age: The tsk factor ‘of Ml increases with age, oubling each decade after 55 ys of age. Gender: Ml more Commonly oecur in man than ‘women and theyhave the tendency to suffer wit stroke. Race: Mls found mostly in African Americans and southerm “Teacher is defining thetopic and students are Isten carefully Teacher is explaining theincidence of topic Teacheris cenumeratingthe etiology factors Black boardAnd tcp Black boardAnd LeD Black board, PPT And ep Whats Myocardia Unfarction How many peoplein the world are suffering from Myocardial Infartion? How are the tisk factors classiies? white men Family History: A family history of Ml increases the risk ‘of Ml in thegeneraton. li, Modifiable Risk Factors: Cigarette Smoking: cigarette ‘smoking increases the blood ccarbonmonoxide (CO) levels. ‘The hemoglobin in the blood ‘combines more readily wth CO than with oxygen. Thus oxygen ‘supply tothe heaitis severely limited. The nicotinic acid present in the smoke releases ‘catecholamines which results in arterial constriction, Moreover ‘the smoke has the abilityto form ‘adhesions leading to thrombus forms Elevated blood pressure: An ‘elevated BP triggers a very high pressure gradient against which thelet ventricle must pump. Hyperlipidemia: ips have the property of being readily soluble insolvans than in water. In the bloodthe principal lipids are cholesterol and triglycerides. The lipids aro attached with the proteins and ormlpoprotein. These lipoproteins arebelieved to play arale in the development of atherosclerosis. Hyperglycemia: hyperglycemiatosters Increased platelet aggregation which can lead to] ttrombus formation. A high level gucose is seemed to cause damage inthe smooth muscles Tsing the blood vessels, Behavior Pattorns: Behaviors that characterizes the poople ke competitive | stving frachioverent, ‘exaggerated sense oftime, trgency, aggressiveness, hhostity are prone to coronary | atherosclerosis. Explain the ‘Teachers explaining | Black What happens pathophysiolo | 10 | PATHOPHYSIOLOGY thePathophysiology of | boardAnd | inMyocardial ov (of | mine myocardial infarction | LCD Infarction? Myocardial ue to fatty streak deposition Infarction Or injury fo the walls ofthe ‘coronaryarteries, Atraction of Be platelets to theinjuted ste Developme of thrombus "Narrowing ofthe lumen ofthe blood vessel 4 ‘Obstruction of the coronary bloodiow 7. | Identity the signs andl symptoms —of| Myocardial Infartion thediagnostic | | evaluation of Myocarcia Infarction Lack of oxygen supply to thetssues tissues Infarction to Myocardial tissue CLINICAL MANIFESTATION 4._| “+ Chest pain characterized by mins | "heavy, vise tke pain which raduales fo shoulders and ddownthe arms, usually the left arms Shortness of breath Pallor Cold clammy skin Diaphoresis Dizziness Light headedness Nausea Vomiting fainting rns | DIAGNOSTIC FINDINGS + History collection Physical Examination Cardio vascular Examination Electrocardiogram Echocardiogram Serum cardiac enzymes Complete biood count CT scan CT angiography Pi Teacher s ‘enumerating the sign ‘and symptomsof Mi Teachers ‘enumerating the

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