Nursing presentation

Patient Name John Doe, 65 years old. Admission Date March 15, 2023. Diagnosis of Acute Myocardial Infarction.


  • Doe’s past includes hypertension, hyperlipidemia and type 2 diabetes.
  • His coronary bypass surgery (CABG), was performed five years ago.
  • A retired worker in construction, he lives alone in his single-story home.


  • Doe can be alerted and directed to the person, place and time.
  • The chest pain radiates from his left arm and started about 4 hours ago.
  • These vital signs include blood pressure of 140/90mmHg, heart beat 90 bpm and respiratory rate 22. BPM, as well as oxygen saturation at 90% in the room.
  • The cardiovascular examination revealed a consistent rhythm that included a loud, sonic S4 sound at the top and a 3-/6 holosystolic murmur at the bottom.
  • A respiratory assessment shows crackles in the base of the lungs.
  • Neurological assessment reveals no deficits.


  • Aspirin, Nitroglycerin, Heparin were used to start Mr. Doe.
  • To continue his management and monitoring, he was transferred to the heart unit.
  • AMI was confirmed by the ordering of cardiac enzymes.
  • An echocardiogram was done to determine if there were any changes or worsening problems with the heart.
  • His diabetes was managed by blood glucose monitoring.


  • In order to keep Mr. Doe oxygen-saturated above 92%, Mr. Doe was put on oxygen therapy.
  • Intravenous morphine was used to manage pain.
  • To reduce myocardial demands, bed rest was recommended.
  • His hypertension, hyperlipidemia and hypertension were managed by a low-fat diet with low sodium.
  • M. Doe was educated about his condition and treatment.


  • A 65-year old male with severe chest pain was admitted to the hospital by Mr. Doe. He also has a history AMI.
  • His AMI is currently being managed with medication and surveillance.
  • To confirm and diagnose any cardiac problems, echocardiography was ordered.
  • These include pain management, oxygen therapy, medication management and diet management.

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