NURSING CARE IN CARDIAC PATIENTS

CCU CARDIAC CARE UNIT Death from primary VF in patients with STEMI have been prevented because the CCU allows continuous monitoring of cardiac rhythm by highly trained nurses with the authority to initiate immediate treatment of arrhythmias in the absence of physician and because of the specialized equipment(e.g. defibrillators, pacemaker)and drugs available.

CCU ENVIRONMENT

ACTIVITY CBR definition-which disease-time anticoagulant RBR

HEART MONITORING H.M BP : hypertension-hypotension HR : bradycardia – tachycardia RHYTHM : arrythmia- block- pvc SATURATION : 90%

DIET NPO: 4-12 hour after MI LOW SALT- LOW FAT DIABETIC

POSITION Semisitting Elevated foot

oxygen MI: nasal cannula at 2 lit/min when stable for 6 hours if sat<90% Pulmonary edema: Heart failure: COPD: PTE:

ECG 12 leads Long lead At pain At distress

ANALGESICS NSAIDS? OPIOIDS : morphine-pethidine pulmonary edema MI: IV morphine 2-4 mg with increment of 2- 8 mg IV at 5-15 min intervals as needed TNG: Dose?

ANXIOLYTIC

LAXATIVE