ATI template System disorder angina PDF

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Summary

ati assignment on angina system disorder. all boxes filled in...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Margorie ST UDENT NAME _____________________________________

Angina DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem -Reduced blood flow to heart muscle

-pain from pressure, aching, burning in middle of chest, neck/jaw/shoulders

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -maintain exercise routine -Regular check of cholesterol and BP -Diet low in Na and saturated fats -Discontinue smoking

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

-Tobacco use, Diabetes -High blood pressure, High blood cholesterol or triglyceride levels -Family history of heart disease,Older age -Lack of exercise, Obesity -Male,ethnic backgrounds

Laboratory Tests -Myoglobin -Creatine kinase-MB -Troponin I or T

-chest pain and discomfort, possibly described as pressure, squeezing, burning or fullness. -pain in your arms, neck, jaw, shoulder or back -Dizziness, nausea -females: pain between shoulders -Diaphoresis, SOB, Diaphoresis

Diagnostic Procedures -ECG -Stress test -Thallium scan -Cardiac catheterization

PATIENT-CENTERED CARE

Nursing Care -Monitor vitals -Administer oxygen -Obtain and maintain IV access -Promote rest -Administer meds as prescribed

Therapeutic Procedures -percutaneous transluminal coronary angioplasty (PTCA) -Bypass graft (CABG)

ACTIVE LEARNING TEMPLATES

-keep nitroglycerin at all times. If have symptoms, sit down and rest, and take the first dose of nitroglycerin as directed. If your doctor advises it, take 1 low-dose aspirin a day to prevent heart attack. Be safe with medicines.

Complications Medications -Nitrates -Beta blockers -Statins -Calcium channel blockers -Ranolazine (Ranexa) -Aspirin -Thrombolytic agents -Antiplatelet agents -Anticoagulants

Client Education -Stop activity and rest if pain -Place nitro tab under tongue -If pain persists after 5 min, call 911 -Up to 3 doses can be taken of Nitro (5 min intervals) -Change positions slowly

Interprofessional Care -Cardiologist -Primary provider -Dietician

-Acute MI -Heart failure -Cardiogenic shock -Ischemic mitral regurgitation -Ventricular aneurysms/rupture -Dysrhythmias...