Nursing interventions for angina pectoris. 4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans 2022-10-28
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Angina pectoris, also known as stable angina, is a type of chest pain caused by reduced blood flow to the heart. It is typically triggered by physical activity or emotional stress, and is relieved by rest or use of medications. Nursing interventions play an important role in managing and treating angina, and can include a range of activities such as patient education, medication administration, and lifestyle modifications.
One of the key nursing interventions for angina is patient education. It is important for patients to understand the cause of their angina, as well as how to recognize the signs and symptoms of an angina attack. This can include information about triggers, such as physical exertion or stress, and how to manage these triggers through lifestyle changes or medication. Patients should also be educated about the importance of seeking prompt medical attention if they experience chest pain, as well as the importance of taking their medications as prescribed.
Medication administration is another important nursing intervention for angina. Common medications used to treat angina include beta blockers, calcium channel blockers, and nitrates. Beta blockers work by blocking the effects of adrenaline on the heart, while calcium channel blockers and nitrates relax the muscles of the heart and blood vessels, improving blood flow. Nurses should ensure that patients understand how to take their medications correctly, and monitor for any adverse reactions or side effects.
Lifestyle modifications can also be an important nursing intervention for angina. This can include encouraging patients to adopt a healthy diet, engage in regular physical activity, and quit smoking. Losing weight, if needed, can also help to improve blood flow to the heart and reduce the risk of angina attacks. Nurses may work with patients to develop an individualized plan for lifestyle changes, including strategies to support behavior change.
In addition to these interventions, nurses may also monitor patients for signs of worsening angina or other complications, and work with the healthcare team to adjust treatment as needed. This may include referral to a specialist or hospitalization if necessary.
Overall, nursing interventions play a vital role in managing and treating angina pectoris. By providing patient education, administering medications, and supporting lifestyle modifications, nurses can help patients to effectively manage their angina and reduce their risk of complications.
Nursing Process: The Patient With Angina Pectoris
Today it is available in many forms and is still the cornerstone of antianginal therapy. Provide information, privacy, or consultation, as indicated. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Provide information, privacy, or consultation, as indicated. Note: Questran and Colestid may inhibit absorption of fat-soluble vitamins and some drugs such as Coumadin, Lanoxin, and Inderal. Tachycardia also develops in response to sympathetic stimulation and may be sustained as a compensatory response if cardiac output falls. Patient should take nitroglycerin prophylactically before any activity that is known to precipitate angina.
Angina Pectoris Management and Nursing Care Plan ~ Nursing Path
Combination of nitrates and beta-blockers may have cumulative effect on cardiac output. If the pain is significant and continues after these interventions, the patient is further evaluated for acute MI and may be transferred to a higher-acuity nursing unit Ibanez et al. Other helpful questions may be asked. It also does not require anticoagulation monitoring. Knowledge of expectations can avoid undue concern for insignificant reasons or delay in treatment of important symptoms. The nurse then continues to assess the patient, measuring vital signs and observing for signs of respiratory distress. Presence of nurse can reduce feelings of fear and helplessness.
They may also fear that the pain or the prodromal symptoms may lead to an MI or death. People with angina pectoris or sometimes referred to as stable angina have episodes of chest discomfort that are usually predictable and manageable. MS is given IV for rapid action and because decreased cardiac output compromises peripheral tissue absorption. Pain is often referred to more superficial sites served by the same spinal cord nerve level. Patients with high cholesterol who do not respond to 6-month program of low-fat diet and regular exercise will require medication. Be sure the patient understands all medications, including the dose, route, action, and adverse effects. If the chest pain is unchanged or is lessened but still present, nitroglycerin administration is repeated up to three doses.
Teach the patient factors that may precipitate anginal episodes and the appropriate measures to control episodes. Serial tracings verify ischemic changes, which may disappear when patient is pain-free. Balance of activity and rest is an important aspect of the educational plan for the patient and family. For patients with major GI intolerance, alternative drugs may be indicated. Assess and document patient response to medication.
Coronary artery disease (CAD) & angina pectoris: Nursing Process (ADPIE)
Q stands for the quality of pain, which often involves pressure, crushing, squeezing, or tightness. Your assessment reveals warm, dry, intact skin with good turgor. This procedure is preferred over the more invasive CABG surgery. The goals of the educational program are to reduce the frequency and severity of anginal attacks, to delay the progress of the underlying disease, if possible, and to prevent any complications. In most but not all patients presenting with angina, CAD symptoms are caused by significant atherosclerosis. Teach the patient the importance of not denying or ignoring angina episodes and of reporting them to the healthcare provider immediately.
Development of murmurs may reveal a valvular cause for chest pain aortic stenosis, mitral stenosis or papillary muscle rupture. Blood pressure may initially rise because of sympathetic stimulation, then fall if cardiac output is compromised. REDUCING ANXIETY Patients with angina often fear loss of their roles within society and the family. Patients with high cholesterol who do not respond to 6-month program of low-fat diet and regular exercise will require medication. ECG changes reflecting dysrhythmias indicate need for additional evaluation and therapeutic intervention.
Teach the patient the modifiable cardiovascular risk factors and ways to reduce them. Nitroglycerin has been the standard for treating and preventing anginal pain for more than 100 yr. Useful in evaluating response to therapeutic interventions and identifying need for emergency care. May cause headache, dizziness, light-headedness, symptoms that usually pass quickly. Nursing Diagnosis for for Angina Pectoris 1. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. .
4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans
Coronary bypass grafting, or CABG, can be done instead of PCI. Administer sublingual nitroglycerin as ordered. Evaluate reports of pain in jaw, neck, shoulder, arm, or hand typically on left side. Activity intolerance related to reduced cardiac output. May cause headache, dizziness, light-headedness, symptoms that usually pass quickly. A difference may in-dicate a worsening of the disease or a different cause. Manage risk factors, including hypertension, diabetes mellitus, obesity, and hyperlipidemia.
CABG is the recommended treatment when testing confirms myocardial ischemia as a result of left main coronary artery disease or symptomatic three-vessel disease, especially in those with left ventricular dysfunction. Reduces frequency and severity of attack by producing continuous vasodilation. Modifiable risk factors include smoking tobacco, Psychosocial factors, such as OK, treating CAD centers around lifestyle modifications, medication management and, if needed, coronary revascularization procedures. Note: Often these drugs alone are sufficient to relieve angina in less severe conditions. Planning and Goals Goals include immediate and appropriate treatment when angina occurs, prevention of angina, reduction of anxiety, awareness of the disease process and understanding of the prescribed care, adherence to the self-care program, and absence of complications. Ointment applied to skin; sites rotated to avoid skin irritaion.
