Title | Disorder CAD - Active Learning Template |
---|---|
Author | BoB BoBington |
Course | Care Management 2 |
Institution | Keiser University |
Pages | 1 |
File Size | 207.4 KB |
File Type | |
Total Downloads | 97 |
Total Views | 134 |
Active Learning Template...
ACTIVE LEARNING TEMPLATE:
System Disorder
Gavin Isaac ST UDENT NAME _____________________________________ Coronary Artery Disease DISORDER/DISEASE PROCESS __________________________________________________________
Alterations in Health (Diagnosis) Plaque leads to reduced coronary blood flow.
Pathophysiology Related to Client Problem Accumulation of plaque witihin the layers of the coronary arteries.
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
Client Education
Nitrates, beta blockers, calcium channel blockers, ACE inhibitors, antilipid agent, antiplatelet agents, folic acid and B comlex vitamins
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
A11...