Angina Pectoris Concept Map PDF

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Summary

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Description

Precipitating Factors

ANGINA PECTORIS

Predisposing Factors

Chest pain, weakness, dizziness, SOB, and diaphoretic at rest or exertion

Pathophysiology

1. Hx of alcohol and cigarette use 2. Hyperlipidemia 3. Coronary Artery Disease 4. Hypertension 5. Myocardial Infarction 6. Diabetes

Hx of alcohol and cigarette use

Nursing Diagnosis Ineffective Cardiac Tissue Perfusion r/t myocardial ischemia AEB chest pain, SOB, and diaphoresis

Damage interior walls of arteries

Plaques builds up

Medications 1. 2. 3. 4. 5. 6.

Aspirin Carvedilol Clopidogrel Ezetimibe Pravastatin Spironolactone

Goals 1.

Hypertension Hyperlipidemia

2.

Hardening/narrowing of the arteries

Nursing Interventions

Insufficient blood flow to heart muscle

Decrease oxygen in the heart muscle

↓ cardiac output

Labs ↑ HR

3.

↑ BNP of 224 pg/mL

↑ Glucose of 114

1.

2.

Decrease tissue perfusion

↑ Troponin of 3, 858.82 pg/mL

↑ PTT of 41

Patient will verbalize decrease chest pain between 0 – 3 using the 0 – 10 pain scale. Patient will maintain maximum tissue perfusion to vital organs AEB warm and dry skin, strong peripheral pulses, alert LOC, and absence of chest pain

↑ lactic acid build up

Myocardial ischemia 4.

↓ RBC of 3.49 L ↓ Hgb of 11.5L ↓ Hct of 33.6 L Echocardiogram • •

Trivial aortic regurgitation Mild mitral and tricuspid regurgitation

5.

Assess patient’s pain rate from 0 – 10 by using the Numerical Rating Scale (NRS) and using PQRST. Monitor SpO2 to determine the respiratory function and the response to the oxygen therapy. Monitor BP, pulse, HR, and rhythm. Dysthymia can occur and further damage cardiac function. Antihypertensive medications can cause hypotensive. Administer supplemental oxygen as needed. adequate oxygen can improve contractility of the heart and reduce myocardial ischemia. Assist patient during activities especially when standing from a sitting position. Orthostatic hypotension leads to temporary decreased cerebral perfusion.

Evaluation: Met Recommendation (s): Teach the importance of alcohol and smoking cessation...