Reflective Case Study Paper

This reflective case study will provide a detailed information of Cardiovascular disease and its significant effect concerning the human body. It aims to determine an effective nursing management and preventative strategies on chest pains through a descriptive discussion in each stage. It will firstly give an overview of the patient and indicate existing complications and any relevant information. The condition will then be analyzed with the use of evidence based journals and appropriate text books while also making theoretical observations when necessary. Furthermore, it will discuss the importance of patient education in the hospital and after discharge to prevent future cardiac events. Evidently with this study it is hoped that in each stage a better understanding of the disease can be achieved along with an improved set of nursing skills for future practice.

Management of Chest pain

Sudden onset of chest pain can signify a life threatening cardiac condition. In John Smith's case he experienced a severe sub sternal squeezing pain that

The purpose of treatment is to relieve his chest pain, maintain heart rhythm, decrease cardiac workload and preserve myocardial tissue. On recognition of STEMI signs and symptoms, John is administered with 300mg of Aspirin as a single dose, which is more than enough in order to achieve results within 30 minutes. As stated by Tiziani (2013), aspirin is an analgesic with an antiplatelet effect, by blocking the enzyme cyclooxygenase needed for thromboxane synthesis it inhibits platelet aggregation and vasoconstriction. Although beneficial for patients in reducing MI mortality, daily use of aspirin above 300mg does not have any further therapeutic benefit. It could increase the risk of adverse effects such as cerebral hemorrhage and gastrointestinal and for that reason, a lower dose should be prescribed with long term