Nursing Care Plan for Myocardial Infarction (MI)
Also searched as: heart attack
🎓 Educational example. Adapt to your patient and have your instructor review it. Not medical advice.
Death of heart muscle from blocked coronary blood flow. Nursing care is time-critical: relieve ischemia, monitor, and support reperfusion.
Build your own Myocardial Infarction (MI) care plan in minutes → the free Care Plan Builder walks you from assessment to evaluation and exports a clean PDF.
Assessment
- Subjective: chest pain/pressure, radiation to arm/jaw, dyspnea, nausea
- Objective: ECG changes, elevated troponin, diaphoresis, arrhythmias
Nursing diagnoses
As evidenced by: chest pain, ECG changes, elevated troponin
Goals / expected outcomes
- The patient will report relief of chest pain and maintain stable cardiac rhythm and perfusion.
Nursing interventions & rationale
| Intervention | Rationale |
|---|---|
| Provide oxygen if hypoxic, and give aspirin, nitroglycerin, and other medications as ordered. | Reduces ischemia and platelet aggregation. |
| Obtain a 12-lead ECG and support time-critical reperfusion (PCI/thrombolytics). | "Time is muscle" — fast reperfusion saves myocardium. |
| Continuously monitor rhythm, vitals, and pain. | Detects life-threatening arrhythmias early. |
| Promote rest and reduce cardiac workload; provide reassurance. | Lowers oxygen demand and anxiety. |
Evaluation
- Chest pain relieved
- Stable rhythm and vitals
- Reperfusion achieved
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What is the nursing diagnosis for Myocardial Infarction (MI)?
Common nursing diagnoses include: Acute pain related to myocardial ischemia. Choose the one your patient's assessment data supports.
What are nursing interventions for Myocardial Infarction (MI)?
Key interventions: Provide oxygen if hypoxic, and give aspirin, nitroglycerin, and other medications as ordered.; Obtain a 12-lead ECG and support time-critical reperfusion (PCI/thrombolytics).; Continuously monitor rhythm, vitals, and pain. — each paired with a rationale.
Can I use this care plan for my assignment?
Use it as a study example and starting draft. Always adapt it to your specific patient and have it reviewed by your instructor. This is an educational tool, not medical advice.
Last reviewed 2026-07. Educational content based on standard nursing practice; not medical advice and not affiliated with NANDA-I/NIC/NOC. Always follow your institution's protocols and your instructor's guidance.