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Table of Contents

Background
Pharmacological and Parenteral Therapies
Health Promotion and Maintenance
References

Background

First, a nurse should assess client’s ability to cope with life changes and provide support. The nurse must be aware of the patient’s capabilities to ensure that there are no further complications. Second, it is essential to orient the client to reality after Myocardial Infarction. The nurse needs to properly adjust the patient after a heart attack to calm the patient. Third, the patient must be educated on acute and chronic psychosocial issues that will prevent similar diseases and consequences in future. Another way to ensure psychosocial integrity of the mother is establishing the connection with the patient’s family, which allows the nurse to understand whether the MI patient who is now having PVCs will receive adequate support from their relatives.

Any medical event can substantially impact the client’s mental health and well-being, and Myocardial Infarction is not the exception. According to Su et al. (2018), smoking and excessive alcohol and caffeine consumption are significant risk factors for PVCs. Stress and uncontrollable physical activities endanger the health state of MI patients who have PVCs. Therefore, support for the patient’s emotional, mental, and social well-being is just as important as care for their physical health. Several actions should be undertaken when considering the well-being of the patient experiencing PVCs following myocardial infarction.

Pharmacological and Parenteral Therapies

First, it is necessary to educate the MI patients who are having PVCs on medications to ensure adequate health support and to avoid possible adverse consequences. The nurse assigned to the case is to explain how the beta-blockers work, the dosages, and the outcomes. Second, the nurse should evaluate client response to medication. The healthcare provider is to evaluate the response to the beta-blockers and non-dihydropyridine calcium channel blockers to reduce potential risks. Third, the nurse should provide information to the client on common side effects/adverse effects/potential interactions of medications. They need to cover such side effects such as dizziness and sleeping issues to avoid potentially dangerous situations.

If elimination of risk factors such as caffeine, alcohol, and smoking is not sufficient, the patient can be prescribed pharmacological therapies to reduce the occurrence of PVCs. Frequent PVCs are traditionally treated with beta-blockers and non-dihydropyridine calcium channel blockers (Chung et al., 2021). These medications can be administered orally by the client and require limited intervention from the nurse. However, self-administration without adequate education can lead to errors and nonadherence (Sørensen et al., 2020). It is essential for the nurse to be the provider of knowledge about medication for the MI patient because lack of competence is connected with serious health risks.

Health Promotion and Maintenance

The nurse of the patient experiencing PVCs following a heart attack should apply the following measures. First, they should provide the patient with information about regular visits to the therapist and the need to call the emergency when they feel that their health state aggravates. Second, the nurse should educate the MI patient about the importance of regular and moderate physical activity and particular exercises they should perform, such as the aforementioned aerobic exercises. Third, there is the need to explain the MI patient how and when they should make targeted screening assessments. The nurse is to assess the current physical activity level to recommend further improvements. For example, certain clients may not be able to adhere to more challenging physical activities due to their health issues, which is why the nurse is to examine the current abilities and recommend adequate measures. In case of cardiovascular problems, nurses are to discuss risks correlating with a sedentary lifestyle.

Physiological adaptation is crucial for patients following myocardial infarction, particularly when frequent PVCs are detected. According to Tian and Meng (2019), physical activity, including aerobic exercise, has beneficial effects for post-myocardial infarction patients, helping to prevent further cardiovascular problems such as heart failure. Since cardiovascular health is directly linked to exercise level, health promotion and maintenance techniques can be employed in order for current and future risks to be minimized.

References

Chung, E., Young, S., & Chen, M. A. (2021). A case of premature ventricular contractions-related cardiomyopathy. Journal of the Royal College of Physicians of Edinburgh, 51(3), 262-265.

Sørensen, C. A., Lisby, M., Olesen, C., Enemark, U., Sørensen, S. B., & De Thurah, A. (2020). Self-administration of medication: A pragmatic randomized controlled trial of the impact on dispensing errors, perceptions, and satisfaction. Therapeutic Advances in Drug Safety, 11, 1-16.

Su, Y., Xia, M., Cao, J., & Gao, Q. (2018). Cardiac characteristics in the premature ventricular contraction patients with or without ventricular tachycardia.International Journal of Clinical and Experimental Medicine, 11(6), 6106-6112.

Tian, D., & Meng, J. (2019). Exercise for prevention and relief of cardiovascular disease: Prognoses, mechanisms, and approaches.Oxidative Medicine and Cellular Longevity, 2019, 1-11.

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