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ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Coronary artery disease DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) a blood vessel disorder that (aterosclerosis)

Pathophysiology Related to Client Problem when the atheromas form in the coronary arteries

33 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Monitor and reduce serum lipid level, early genetic test

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Genetic links related to lipoprotein genes, hypertension that develops into aretherosclerosis. Age, gender, ethnicity,

Laboratory Tests

when patient is sympamatic, the disease is very progressed. Stages: 1. fatty streak 2. fibrous plaque 3. complicated lesion

Diagnostic Procedures

cholesterol, triglycerides, HDL, LDL, complete blood count, lipoprotein, hemoglobin, fasting glucose, genetic testing, CK.

ECG, echocardiogram, exercise stress test, Cardiac CT scan, blood tests, MRI scans, coronary angiography

PATIENT-CENTERED CARE

Nursing Care identify high risk patients, obtain thorough screening history, assess diet and physical activity.

Therapeutic Procedures artery bypass graft surgery, PCI, medical treatment to address other underlying diseases.

ACTIVE LEARNING TEMPLATES

Controlling diet, exercise, stop smoking. Also, take prescribed medications (usually lifetime), for BP, diabetes, cholesterol, and other health conditions. This will help prevent further progression.

Complications Medications lipid lowering agents such as garlic, green tea, fish oil, etc. Statins, simvastatin, niacin, lopid, zetia, etc.

Client Education Increase physical activity, get yearly check ups

Interprofessional Care General cardiologist, interventional cardiologist, nurse, PCP

Heart failure, abnormal heartbeat (bradycardia, tachycardia, atrial fibrillation), chest pain, heart attack, sudden death, other arterial diseases...