What are the primary goals of nursing care in a patient with ACS?

The primary goals of nursing care in a patient with Acute Coronary Syndrome (ACS) focus on addressing the immediate and critical needs of the patient. Relieving pain is essential because it helps mitigate the discomfort associated with cardiac events, which can also reduce myocardial oxygen demand. Additionally, reducing anxiety is a crucial aspect of care, as anxiety can exacerbate feelings of pain and distress, potentially leading to further physiological issues.

Improving perfusion is vital since ACS often results in compromised blood flow to the heart due to blocked coronary arteries. By improving blood flow, the risk of further myocardial damage is reduced, and the overall function of the heart can be preserved. This holistic approach to managing the symptoms and physiological effects of ACS is why pain relief, anxiety reduction, and improved perfusion are prioritized in nursing care.

In contrast, while maintaining fluid balance, preventing infection, increasing physical activity, or monitoring cardiac status may be relevant in broader contexts of patient care, they do not specifically address the immediate and critical needs of a patient experiencing an ACS event. The focus during this acute phase is on stabilizing the patient and minimizing further cardiac damage, making the relief of pain and distress paramount.