Medical Surgery

Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

CK 

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.