ATI Active Learning Template System Disorder Coronary Artery Disease PDF

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Download ATI Active Learning Template System Disorder Coronary Artery Disease PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Coronary Artery Disorder DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Accumulation of plaque witihin the layers of the coronary arteries

Plaque leads to reduced coronary blood flow

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention If the patient smokes, stress cessation.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Atherosclerosis: The hardening of plaque in the artery. NonMod: Age, sex, race, history. Modifiable: Diet, HTN, weight Laboratory Tests

Chronic stable angina: Substernal chest pain, pressure, heaviness. Unstable angina: Pain occuring at rest; no increase in O2 demand Diagnostic Procedures

Creatinine kinase, troponin, HbA1C and fasting lipid panel, coagulation studies, CRP, hemoglobin

Chest pain and clinical history. Blood tests, 12 lead ECG, ECG stress test, radionuclide, cardiac catheterization, nitroglycerin test

PATIENT-CENTERED CARE

Nursing Care Thoroughly assess anginal attack. Gather information about cardiac risk factors

Therapeutic Procedures Place patient in Fowlers position and administer oxygen.Obtain BP, apical pulse, and respiratory rate.

ACTIVE LEARNING TEMPLATES

Thoroughly evaluate any complaint of chest pain. Notify HCP and obtain ECG for complaints of chest pain. Be alert to common alternative presentations of CAD and MI: Women, diabetics, elderly.

Complications Medications Nitrates, beta blockers, calcium channel blockers, ACE inhibitors, antilipid agent, antiplatelet agents, folic acid and B comlex vitamins

Client Education Teach the structure and function of the heart.Explain the disease process thoroughly

Angina, arrhythmias, heart failure, MI, sudden death, related arterial disease

Interprofessional Care Nutritionist consult, physical therapy consult, cardiology consult,endocrineology consult

THERAPEUTIC PROCEDURE

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