Coronary Artery Disease

Coronary Artery Disease
KNOWLEDGE DEFICIT
S/SX
SIGNS/SYMPTOMS
PT FINDINGS
Multiple questions from patient
Pt Verbalizes misconceptions or inaccurate information
Questions staff on meds & procedures
Noncompliance
Inappropriate treatment
NIC
NURSING INTERVENTIONS
PT RESPONSE
Assess understanding of angina
Teach patient difference between stable & unstable angina
Provide education on cardiac interventions
Risk for Decreased Cardiac Output
S/SX
SIGNS & SYMPTOMS
PT FINDINGS
Syncope
Dizziness
Weakness
Abnormal Heart Sounds
NIC
NURSING INTERVENTIONS
PT RESPONSE
Assess heart rate and Blood pressure
Monitor EKG
Assess for Chest Pain
Administer Meds
Chest Pain
S/SX
SIGNS & SYMPTOMS
PT FINDINGS
Chest tightness
Chest pressure
Chest pain during rest or activity
Increased respirations
Increased heart rate
NIC
Nursing Interventions
PT RESPONSE
Monitor cardiac enxymes
administer 02
Anticipate cardiac stress test or cardiac catherization
Administer Nitroglycerin
Assess Quality, location, severity, duration, onset, and relief of pain
Administer Morphine
Monitor EKG
Fear
S/SX
Pt Findings - Signs & Symptoms
restlessness
poor eye contact
increased perspiration
Trembling
poor facial tension
NIC
PT RESPONSE - Nursing Interventions
Assess level of fear
encourage patient to call for nurse when pain or fear
administer tranquilizer
Respond to pain
PATHOPHYSIOLOGY - accumulation of fatty deposits along the inside of the coronary arteries - plaque buildup can narrow coronary arteries - leading to decrease in blood flow & oxygenation to coronary muscle
TREATMENT: Antianginals, beta blockers, calcium channel blockers, antilipids, PTCA, CABG
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