This document discusses the nursing management of a 52-year-old woman presenting with fatigue, nausea, and chest discomfort diagnosed with an acute myocardial infarction (AMI). It outlines her assessment, including vital signs and ECG findings consistent with AMI. It then reviews AMI pathophysiology, diagnostic testing, signs and symptoms, and appropriate medications and treatments including aspirin, nitroglycerine, oxygen, morphine, heparin, clopidogrel, beta blockers, and ACE inhibitors. It discusses nursing diagnoses and guidelines for monitoring, preventing complications, managing pain and anxiety, and providing patient education on diet, activity, medications and risk factor modification.