SELF TASK FOR ENGLISH LESSON PART 2TH

Nursing Case Study

Mrs. Darsana was sitting at a family cookout at approximately 2:00 p.m. when she experienced what she later
describes to the nurse as “nausea with some heartburn.” Assuming the discomfort was because of something she ate,
she dismissed the discomfort and took Tums. After about two hours, she explains, “My heartburn was not much
better and it was now more of a dull pain that seemed to spread to my shoulders. I also noticed that I was a little
short of breath.” Mrs. Darsana told her son what she was feeling. Concerned, her son called emergency medical
services.

En route to the hospital, emergency medical personnel established an intravenous access. Mrs. Darsana was given
four children’s chewable aspirins and three sublingual nitroglycerin tablets without relief of her chest pain. She was
placed on oxygen 2 liters via nasal cannula. Upon arrival in the emergency department, Mrs. Darsana is very
restless. She states, “It feels like an elephant is sitting on my chest.” Her vital signs are blood pressure 160/84, pulse
118, respiratory rate 28, and temperature 99.38F (37.48C). Her oxygen saturation is 98% on 2 liters of oxygen. A
12-lead electrocardiogram (ECG, EKG) shows sinus tachycardia with a heart rate of 120 beats per minute. An
occasional premature ventricular contraction (PVC), T wave inversion, and ST segment elevation are noted. A chest
X-ray is within normal limits with no signs of pulmonary edema. Mrs. Darsana’s laboratory results include
potassium (K1) 4.0 mEq/L, magnesium (Mg) 1.9 mg/dL, total creatine kinase (CK) 157 μ/L, CK-MB 7.6 ng/mL,
relative index 4.8%, and troponin I 2.8 ng/mL. Her stool tests negative for occult blood.

According with that scenario, please make data analysis, nursing diagnosis, and make nursing care plan (goal/NOC
and nursing intervention classification/NIC)!

DIRI TUGAS BAGI PELAJARAN BAHASA INGGRIS BAGIAN 2TH

Studi Kasus Keperawatan

Ny. Darsana sedang duduk di acara memasak keluarga sekitar jam 2:00 malam. ketika dia mengalami apa yang
kemudian dia jelaskan kepada perawat sebagai "mual dengan beberapa mulas." Dengan asumsi ketidaknyamanan itu
karena sesuatu yang dia makan, dia menolak ketidaknyamanan dan mengambil Tums. Setelah sekitar dua jam, dia
menjelaskan, “Mulasku tidak jauh lebih baik dan sekarang lebih terasa sakit yang tampaknya menyebar ke
pundakku. Saya juga memperhatikan bahwa saya sedikit kehabisan nafas. ”Mrs. Darsana memberi tahu putranya apa
yang dia rasakan. Prihatin, putranya memanggil layanan medis darurat.

Dalam perjalanan ke rumah sakit, personel medis darurat mendirikan akses intravena. Ny. Darsana diberi empat
aspirin kunyah anak-anak dan tiga tablet nitrogliserin sublingual tanpa menghilangkan rasa sakit di dadanya. Dia
ditempatkan pada oksigen 2 liter melalui kanula hidung. Setibanya di ruang gawat darurat, Ny. Darsana sangat
gelisah. Dia menyatakan, "Rasanya seperti seekor gajah sedang duduk di dada saya." Tanda-tanda vitalnya adalah
tekanan darah 160/84, denyut 118, laju pernapasan 28, dan suhu 99,38F (37,48C). Saturasi oksigennya adalah 98%
pada 2 liter oksigen. Elektrokardiogram 12-lead (ECG, EKG) menunjukkan sinus tachycardia dengan denyut
jantung 120 denyut per menit. Kontraksi ventrikel prematur sesekali (PVC), inversi gelombang T, dan elevasi
segmen ST dicatat. Foto toraks dalam batas normal tanpa tanda-tanda edema paru. Hasil laboratorium Ibu Darsana
termasuk kalium (K1) 4,0 mEq / L, magnesium (Mg) 1,9 mg / dL, total creatine kinase (CK) 157 μ / L, CK-MB 7,6
ng / mL, indeks relatif 4,8%, dan troponin Saya 2,8 ng / mL. Kotorannya tes negatif untuk darah tersembunyi.

Sesuai dengan skenario itu, silakan buat analisis data, diagnosis keperawatan, dan buat rencana asuhan keperawatan
(sasaran / NOC dan klasifikasi intervensi keperawatan / NIC)!