Allergic myocardial infarction due to bee sting

Abstract

Introduction and case presentation

Kounis Syndrome is the association of acute coronary syndrome (ACS) in the context of a hypersensitivity reaction whose prevalence is difficult to identify and its etiology is multifactorial, which makes its early detection difficult. The unusual case of a woman who suffers an acute myocardial infarction (AMI) with cardiorespiratory arrest (CPA) secondary to the accidental sting of a bee is presented. The objective is, regarding the case, to define the nursing interventions and the individualised care plan.

Assessment

Based on Virginia Henderson's care model, the assessment of the nursing care process was carried out.

Diagnosis and planning

According to the NANDA taxonomy, the nursing diagnoses and potential problems that developed during their stay in the unit were described. Standardized language was used establishing NOC objectives and NIC interventions.

Discussion and conclusions

The combination of both pathologies in a single entity can make the management of this syndrome in the acute phase difficult, which modifies the conventional scenario of a PCR. Defining a standardised care plan is a fundamental axis to provide optimal quality of care based on evidence in the absence of standardised algorithms in the literature.