NURSING CARE OF THE CLIENT Mr.

B
WITH ACUTE MYOCARDIAL INFARCTION MEDICAL DIAGNOSIS
IN ICCU WARD AT Dr. H. MOCHAMMAD ANSARI SALEH GENERAL
HOSPITAL

By :

MAHFUDZ ‘AZMI

SRN: 011020 D3KI

BANJARMASIN MUHAMMADIYAH HEALTH COLLEGE

INTERNATIONAL CLASS OF NURSING DIPLOMA PROGRAM
ACADEMIC YEAR, 2014

vi
 NURSING CARE OF THE CLIENT Mr. B
WITH ACUTE MYOCARDIAL INFARCTION MEDICAL DIAGNOSIS
IN ICCU WARD AT Dr. H. MOCHAMMAD ANSARI SALEH GENERAL
HOSPITAL

Proposed to Fulfill One of the Requirement to Accomplish

International Class of Nursing Diploma Program

By :
MAHFUDZ ‘AZMI
SRN : 011020 D3KI

BANJARMASIN MUHAMMADIYAH HEALTH COLLEGE

INTERNATIONAL CLASS OF NURSING DIPLOMA PROGRAM
ACADEMIC YEAR, 2014

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 CONTENTS
Page number
TITLE PAGE..………………………………………………………………… i
ADVISOR’S APPROVAL………………………………………………….... ii
ACKNOWLEDGEMENT……………………………………………………. iii
PREFACE…………………………………………………………………….. iv
CONTENTS...………………………………………………………………… v
LIST OF TABLES…………………………………………………………… vi
LIST OF APPENDICES……………………………………………………… vii
CHAPTER 1 INTRODUCTION……………………………………………… 1
1.1 Background………………………………………………… 1
1.2 Purpose…………………………………………………….. 3
1.3 Benefit……………………………………………………... 4
1.4 Nursing Scientific Method………………………………… 4
1.5 Systematic of Writing…………………………………….... 5
CHAPTER 2 THEORETICAL BACKGROUND……………………………. 6
2.1 Anatomy of the heart………………………………………. 6
2.2 Definition………………………………………………….. 8
2.3 Etiology……………………………………………………. 8
2.4 Pathophysiology…………………………………………… 10
2.5 Signs and Symptoms………………………………………. 15
2.6 Medical Treatment…………………………………………. 16
2.7 Diagnostic Examination……………………………………. 19
2.8 Prognosis…………………………………………………… 22
2.9 Complication……………………………………………….. 22
2.10 Assessment………………………………………………… 24
2.11 Planning and Nursing Diagnose…………………………… 31
CHAPTER 3 NURSING CARE REPORT………………………………….... 37
3.1 Overview of Case………………………………………....... 37
3.2 Diagnostic Examination……………………………………. 43
3.3 Pharmacology Therapy……………………………………... 44
3.4 Data Focus…………………………………………………. 44
3.5 Data Analysis………………………………………………. 47
3.6 Intervention and Nursing Care…………………………….. 49
3.7 Development Record………………………………………. 57
CHAPTER 4 CONCLUSION AND SUGGESTION………………………..... 73
4.1 Conclusion…………………………………………………... 73
4.2 Suggestion………………………………………………...... 74
References……………………………………………………………………… 75
Appendices
Curiculum Vitae

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 LIST OF TABLES

Page number
Table 1. Sign and Symptom………………………………………………….. 16
Table 2. Diagnostic Examination…………………………………………….. 21
Table 3. Laboratory Examination…………………………………………….. 43
Table 4. Pharmacology Therapy.…………………………………………….. 44
Table 5. Data Analysis…….………………………………………………….. 47
Table 6. Intervention and Nursing care...…………………………………….. 49
Table 7. Development Record………………………………………………... 57

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 LIST OF APPENDICIES

Appendix 1. Glasgow Coma Scale (GCS)

Appendix 2. Consciousness Level
Appendix 3. Pain Scale
Appendix 4. Grading Of Muscle Strength
Appendix 5. Activity Scale

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 PREFACE

‫بسم هللا الرحمن الرحيم الحمد هلل رب العالمين‬

‫الن بعنايته وبرحمته يستطيع‬, ‫اشكرهللا عز وجل‬
‫الكاتب لينتهي هذه الوظيفة ثم اصلى واسلم على‬
‫رسول هللا نبينا محمد صلى هللا عليه وسلم وعلى اله‬
.‫وصحبه وسلم‬
First of all, let’s thank to Allah SWT, because we are still given chance to life, to do
our best and of course especially for the writer that can finish this final paper. And
not to be forgotten peace and salutation to our prophet Muhammad SAW who has led
us to the truth, the bright way and the peace Islam. On this occasion, the writer would
like to give great gratitude to:
1. Mr. M. Syafwani, S.Kp., M.Kep.Sp.Jiwa as The Head of College
2. Mr. Muhsinin, M.Kep.,Sp.Anak as The Coordinator of International Class
3. Mr. Solikin, M.Kep.,SP. KMB as The First Advisor
4. Mrs. Rahmila Mutiana, MA, Tesol as The Second Advisor
5. Mr. Agianto, S.Kep.,Ns.,MNS as The Third Advisor
6. Mrs. Noorfriati, S.Kep.,Ns as The Head in ICU ward
7. Mrs. Hj. Fauziah, S.Kep.,Ns as The Head in Safir ward
8. All of the lecturers and staff of Banjarmasin Muhammadiyah Health Collage
9. My parents, my brothers, my sister, and all my big families always to support me
10. All of my friends especially for my friends in International Class of Nursing
Diploma Program
The writer realizes that this report still has many mistakes, because of the limitation
of writer’s ability, so that the writer needs more suggestion and comments from all of
stake holders. Hopefully this final paper will give us more knowledge about nursing
care. May God bless us.
Banjarmasin, June 2014

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 Writer

Mahfudz ‘Azmi

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