CHEST PAIN IN ACUTE CORONARY SYNDROME: CASE STUDY
DOI:
https://doi.org/10.32584/w9qvnr25Keywords:
Acute Coronary Syndrome Levine conservative theory, Acute Coronary Syndrome; Levine conservative theoryAbstract
Acute Coronary Syndrome (ACS) is a global problem and the largest contributor to mortality in the world. The risk of death from ACS increases significantly with aging and delayed management. Complication of ACS that can cause death is Ventricular Septum Rupture (VSR). One of the nursing approaches is the Myra E Levine energy conservation approach which aims to increase the patient's energy conservation. The purpose of this case study is to analyze using Levine's conservation theory on Mrs. MM with a medical diagnosis of ST Elevation Miocard Infact (STEMI) in a comprehensive intensive room. The case study writing method uses a single case design method. The results of the application of case studies with this energy conservation approach obtained tripocognsosis of conservation integrity including decreased cardiac output, impaired gas exchange, risk of infection, impaired electrolyte balance, instability of blood glucose levels and impaired spontaneous ventilation, while for energy conservation integrity is pain and decreased activity tolerance. Interventions focused on acute cardiac care and respiration monitoring. The results of this case study analyzed the nursing diagnosis obtained from the patient. The application of nursing care with Levine's conservation approach can be carried out in various nursing settings both in the critical and terminal phases.
References
Abumaria, I. M., Hastings-tolsma, M., & Sakraida, T. J. (2015). Levine ’ s Conservation Model : A Framework for Advanced Gerontology Nursing Practice. 50(3).
Acharya, R., Patel, A., Schultz, E., Bourgeois, M., Kandinata, N., Paswan, R., Kafle, S., Sedhai, Y. R., & Younus, U. (2021). Fluid resuscitation and outcomes in heart failure patients with severe sepsis or septic shock: A retrospective case-control study. PloS One, 16(8), e0256368.
Ackley, B. J., Ladwig, G. B., Makic, M. B. F., Martinez-Kratz, M. R., & Zanotti, M. (2021). Nursing Diagnosis Handbook, Revised Reprint with 2021-2023 NANDA-I® Updates-E-Book. Elsevier Health Sciences.
Adeva-Andany, M. M., Fernández-Fernández, C., Mouriño-Bayolo, D., Castro-Quintela, E., & DomÃnguez-Montero, A. (2014). Sodium Bicarbonate Therapy in Patients with Metabolic Acidosis. The Scientific World Journal, 2014, 627673. https://doi.org/10.1155/2014/627673
Alligood, M. R. (2014). Nursing Theory Utilization and Application. Elsevier Inc.
Angeli, F., Reboldi, G., Poltronieri, C., Lazzari, L., Sordi, M., Garofoli, M., Bartolini, C., & Verdecchia, P. (2015). Hyperglycemia in acute coronary syndromes: from mechanisms to prognostic implications. Therapeutic Advances in Cardiovascular Disease, 9(6), 412–424. https://doi.org/10.1177/1753944715594528
Bajaj, A., Sethi, A., Rathor, P., Suppogu, N., & Sethi, A. (2015). Acute Complications of Myocardial Infarction in the Current Era. Journal of Investigative Medicine : The Official Publication of the American Federation for Clinical Research, 63. https://doi.org/10.1097/JIM.0000000000000232
Bakhshi, H., Gattani, R., Ekanem, E., Singh, R., Desai, M., Speir, A. M., Sinha, S. S., Sherwood, M. W., Tehrani, B., & Batchelor, W. (2021). Ventricular septal rupture and cardiogenic shock complicating STEMI during COVID-19 pandemic: An old foe re-emerges. Heart & Lung, 50(2), 292–295. https://doi.org/https://doi.org/10.1016/j.hrtlng.2020.12.013
Black, J., & Hawks, J. (2009). Medical surgical nursing clinical management for positive outcomes. Saunders/Elsevier.
Bruss, Z. S., & Raja, A. (2021). Physiology, stroke volume. In StatPearls [Internet]. StatPearls Publishing.
Cibulka, R., & Racek, J. (2007). Metabolic disorders in patients with Chronic Kidney failure. Physiological Research / Academia Scientiarum Bohemoslovaca, 56, 697–705. https://doi.org/10.33549/physiolres.931128
Dallan, L. R. P., Dallan, L. A. O., Lisboa, L. A. F., Mejia, O. A. V, Veronese, E. T., Camilo, J. P. M., Nascimento, P. C. M., & Jatene, F. B. (2021). Increased number of ventricular septal rupture cases after acute myocardial infarction in 2020. Journal of Cardiac Surgery, 36(7), 2253–2262.
de Souza, V., Salloum Zeitoun, S., Takao Lopes, C., Dias de Oliveira, A. P., de Lima Lopes, J., & Bottura Leite de Barros, A. L. (2015). Clinical usefulness of the definitions for defining characteristics of activity intolerance, excess fluid volume and decreased cardiac output in decompensated heart failure: a descriptive exploratory study. Journal of Clinical Nursing, 24(17–18), 2478–2487.
Demarchi, A., Cornara, S., Somaschini, A., Fortuni, F., Mandurino-Mirizzi, A., Crimi, G., Ferlini, M., Gnecchi, M., De Servi, S., Visconti, L. O., & De Ferrari, G. M. (2021). Has hyperglycemia a different prognostic role in STEMI patients with or without diabetes? Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 31(2), 528–531. https://doi.org/10.1016/j.numecd.2020.09.005
Garg, P. (2011). Oxygen therapy in acute coronary syndrome: current NICE recommendations. In Clinical medicine (London, England) (Vol. 11, Issue 6, pp. 628–629). https://doi.org/10.7861/clinmedicine.11-6-628a
Guerrero-Miranda, C. Y., & Hall, S. A. (2020). Cardiogenic shock in patients with advanced chronic heart failure. Methodist DeBakey Cardiovascular Journal, 16(1), 22.
Hinkle, J. L., & Cheever, K. H. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing. Wolters kluwer india Pvt Ltd.
Jentzer, J. C., Bhat, A. G., Patlolla, S. H., Sinha, S. S., Miller, P. E., Lawler, P. R., van Diepen, S., Khanna, A. K., Zhao, D. X., & Vallabhajosyula, S. (2022). Concomitant Sepsis Diagnoses in Acute Myocardial Infarction-Cardiogenic Shock: 15-Year National Temporal Trends, Management, and Outcomes. Critical Care Explorations, 4(2), e0637. https://doi.org/10.1097/CCE.0000000000000637
Jia, G., Whaley-connell, A., & Sowers, J. R. (2018). Diabetic cardiomyopathy : a hyperglycaemia- and insulin-resistance-induced heart disease. 21–28. https://doi.org/10.1007/s00125-017-4390-4
Kaplan, J. A. (2017). Kaplan’s Essentials of Cardiac Anesthesia E-Book. Elsevier Health Sciences.
Moscarella, E., Brugaletta, S., & Sabate, M. (2018). Latest STEMI treatment: a focus on current and upcoming devices. Expert Review of Medical Devices, 15(11), 807–817.
Pascoal, L. M., de Oliveira Lopes, M. V., Chaves, D. B. R., Beltrão, B. A., Nunes, M. M., da Silva, V. M., & de Sousa Freire, V. E. C. (2018). Impaired Gas Exchange: Prognostic Clinical Indicators of Short-Term Survival in Children with Acute Respiratory Infection. International Journal of Nursing Knowledge, 30(2), 87–92.
Pogosova, N. (2019). Costs associated with cardiovascular disease create a significant burden for society and they seem to be globally underestimated. European Journal of Preventive Cardiology, 26(11), 1147–1149.
Potter, P. A., & Perry, A. G. (2010). Fundamental Keperawatan (7th ed.). Elsevier Inc. Jasa publikasi: Salemba Medika.
Ralapanawa, U., & Sivakanesan, R. (2021). Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: A narrative review. Journal of Epidemiology and Global Health, 11(2), 169.
Rehman, A., Ansari, M., Shaikh, S., Abubaker, J., Karim, M., & Salahuddin, N. (2021). Fluid Resuscitation In Cardiogenic Shock: An Assessment Of Responsiveness And Outcome. Journal of Ayub Medical College, Abbottabad: JAMC, 33, 471–474.
Ronco, D., Matteucci, M., Kowalewski, M., De Bonis, M., Formica, F., Jiritano, F., Fina, D., Folliguet, T., Bonaros, N., Russo, C. F., Sponga, S., Vendramin, I., De Vincentiis, C., Ranucci, M., Suwalski, P., Falcetta, G., Fischlein, T., Troise, G., Villa, E., … Lorusso, R. (2021). Surgical Treatment of Postinfarction Ventricular Septal Rupture. JAMA Network Open, 4(10), e2128309–e2128309. https://doi.org/10.1001/jamanetworkopen.2021.28309
Roth, G. A., Johnson, C., Abajobir, A., Abd-Allah, F., Abera, S. F., Abyu, G., Ahmed, M., Aksut, B., Alam, T., & Alam, K. (2017). Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Journal of the American College of Cardiology, 70(1), 1–25.
Srinivasan, V. (2012). Stress Hyperglycemia in Pediatric Critical Illness: The Intensive Care Unit Adds to the Stress! Journal of Diabetes Science and Technology, 6, 37–47. https://doi.org/10.1177/193229681200600106
Tackling, G., & Borhade, M. B. (2021). Hypertensive heart disease. In StatPearls [Internet]. StatPearls Publishing.
Uli, R. E., Satyana, R. P. U., Zomer, E., Magliano, D., Liew, D., & Ademi, Z. (2020). Health and productivity burden of coronary heart disease in the working Indonesian population using life-table modelling. BMJ Open, 10(9), e039221.
Zègreâ€Hemsey, J. K., Burke, L. A., & DeVon, H. A. (2018). Patientâ€reported symptoms improve prediction of acute coronary syndrome in the emergency department. Research in Nursing & Health, 41(5), 459–468.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.
