Ateneo de Zamboanga University COLLEGE OF NURSING NCM 103 DELIVERABLES Catingub, Cherrielyn C.

BSN III C MODULE : 01 -CARDIO

ASSESSMENT/ PATIENT HISTORY WITH CARDIAC DISTURBANCE My name is Elisa Mendoza, I am already 38 years old. I have been getting pains in the left of my chest and left of my arm, up into my neck a bit, and upper left stomach area. The pains feel like a squeezing tight, sharp pain, and last about 5 mins per episode. Also, my heart will start beating really fast for about 5 seconds and then slow down again, and this happens often. I often experience shortness of breath. My family has had a history of high blood pressure ,heart attack and my cholesterol is very high. I also have close to no exercise, and I am overweight. I also smoke and drink regularly. The patient is at risk for heart attack. Most heart attacks begin with subtle symptoms with only discomfort that often is not described as pain. The chest discomfort may come and go. Don't be tempted to downplay your symptoms or brush them off as indigestion or anxiety. The most common warning symptoms of a heart attack for both men and women are:

Chest pain or discomfort. Most heart attacks involve discomfort in the center or left side of the chest. The discomfort usually lasts for more than a few minutes or goes away and comes back. It can feel like pressure, squeezing, fullness, or pain. It also can feel like heartburn or indigestion. The feeling can be mild or severe.

Upper body discomfort. You may feel pain or discomfort in one or both arms, the back, shoulders, neck, jaw, or upper part of the stomach (above the belly button).

Shortness of breath. This may be your only symptom, or it may occur before or along with chest pain or discomfort. It can occur when you are resting or doing a little bit of physical activity.

The symptoms of angina (an-JI-nuh or AN-juh-nuh) can be similar to the symptoms of a heart attack. Angina is chest pain that occurs in people who have coronary heart disease, usually when they're active. Angina pain usually lasts for only a few minutes and goes away with rest.

Ateneo de Zamboanga University COLLEGE OF NURSING NCM 103 DELIVERABLES

Catingub, Cherrielyn C. BSN III C CARDIO MODULE: 01 REFLECTIVE ANALYSIS My reflection is about the procedure wound dressing. Wound dressing is important as it is used to to reduce pain, to apply compression for haemorrhage or venous stasis, to immobilise an injured body part,to protect the wound and surrounding tissue to promote moist wound healing. In the area, we encountered many patients with different type of wounds and we discussed on how to aseptically clean the wounds. First we performed hand washing, then we removed the old dressing we made sure that the area is clean, that our hands are clean before touching the wound. We Used a normal saline solution to clean the wound and Soaked the gauze or cloth in the saline solution and gently dab or wipe the skin with it. We also Tried to remove all drainage and any dried blood or other matter that may have built up on the skin. Once the wound is clean and not bleeding, dab a bit of antiseptic ointment on it to keep out the germs. Cover the wound lightly with an adhesive dressing. If body hair gets in the way of an adhesive dressing, you may wrap the extremity loosely with a wide roller gauze. Always change dressings every 12 hours. Never reuse a dressing.