Symptoms And Diagnosis Of Acute Coronary Syndrome Essay

Symptoms And Diagnosis Of Acute Coronary Syndrome Essay

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Acute coronary Syndrome(ACS) is the leading cause of mortality and inability in the western world.(emergency medicine Australia .(2011)) )According to Ministry of Health 40% of death in New Zealand is caused by cardiovascular disease(CVD) and 1 in 4 of this mortality is due to coronary artery disease. one new zealander dies every 90 minutes from CVD.classification of ACS. In ACS Non ST elevation MI(NSTEMI) patients exhibit a greater part in most of the registries, in addition NSTEMI patients have an increased rate of cardio vascular complications.(.......)This essay discusses the importance of the knowledge base development and clinical skills in the area of NSTEMI.Both in acute and community settings nurses play a vital role in the prognosis of patients with acute coronary syndrome.Nurses can contribute towards the diagnosis, prevention and effective management of ACS if they have better clinical understanding of the pathophysiology and classification of ACS.(LEARNING ZONE 04/02/2011 13:04 PAGE 47. it describes the rationale by discussing a case study with supporting literatures which links some specific strategies to improved health outcomes and includes a professional development

NSTEMI comes under the definition of ACS.NSTEMI usually caused by rupture of an atherosclerotic plaque and erosion with thrombus formation within the coronary arteries leading to decreased myocardial blood supply resulting in myocardial ischeamia.The frequency of NSTEMI has increased over the years and the death associated with this continues to be higher or almost similar to STEMI. Thus it is clear that the management of these group is challenging to health care providers. (Cayla, Silvain, Collet, & Montalescot, 2015).To diagnose as NSTEMI signs and ...


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...en there is myocardial damage.(Richard. N.Forogos,M.D) One of the most common cardiac enzyme used for the diagnosis of NSTEMI is TroponinT. TroponinT should be checked serially, if the first test is positive it should measure after 4hours and if the initial test is negative it should be checked after 6-8 hours from the onset of pain.The peak level of TroponinT is 18-24 hours.Other biomarkers such as B-type natriureticpeptide(BNP),C reactive protiene(CRP), renal functions and liver functions are also measured for the overall risk management of the patient.(management of the patient in the Coronary Care Unit)(Biochemical markers in acute coronary syndrome by Ramaswami) WORK RELATED COMMANDS FROM CCU

In NSTEMI time is muscle ,every patient presented with chest pain needs to have an ECG done as early as possible and reviewed within 10 minutes by a qualified professional.

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