nursing care plan for angina
(2020).
It may be hard to distinguish angina from other types of chest pain such as heartburn due to indigestion. This medication dilates the blood vessels to help allow any blood flow that might be impeded. Powerlessness may involve the inability of the patient to take angina medications properly, thus there may be a need for a community health nurse to monitor the patient’s pharmacologic therapy. nursing interventions for chest pain angina, Chronic Renal Failure CRF Nursing Diagnosis Interventions and Care Plans, Abruptio Placentae Nursing Diagnosis Interventions and Care Plans, Ulcerative Colitis Nursing Diagnosis Interventions and Care Plans, Crohn’s Disease Nursing Diagnosis Interventions and Care Plans, Chest Pain Angina Nursing Care Plans - NurseStudy.Net, Chronic Renal Failure CRF Nursing Diagnosis Interventions and Care Plans - NurseStudy.Net. Stress test – walking on a treadmill or pedaling a stationary bike while connected to the ECG. The patient may feel an impending sense of doom and may also faint. Chronic stress may also cause an increase in adrenaline levels, which tend to increase the heart rate, respiratory rate, and blood sugar levels. Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Stay with patient who is experiencing pain or appears anxious. Angina is a medical condition characterized by chest pain as a result of reduced blood supply to the heart. Assess heart sounds via auscultation. Let us know if you have found this post helpful. Elevate the head of the bed if the patient is short of breath.
Nursing Care Plan 1. Here are four (4) angina pectoris (coronary artery disease) nursing diagnosis and nursing care plans (NCP): Other nursing diagnoses you can turn into care plans! Observe for signs of depression, hopelessness, and apathy. Also known as angina pectoris (which means it is located in the chest), angina is a type of pain that can be described as heaviness, tightness, squeezing or pressured, as if something heavy is lying on the chest. Medical-surgical nursing: Concepts for interprofessional collaborative care.
To allow the patient to relax while at rest. Gulanick, M., & Myers, J. L. (2017). Explain what angina (specific to the type of angina that the patient is diagnosed with) and its treatment and management. Aside from Decreased Cardiac Output and Acute Pain (as discussed in our Nursing Study Guide for Angina), below are 5 additional nursing care plans for a patient with angina. Place patient at complete rest during anginal episodes. The effects of stress are likely to increase myocardial workload. Decreases myocardial workload associated with work of digestion, reducing risk of anginal attack. Desired Outcome: At the end of the health teaching session, the patient will be able to demonstrate sufficient knowledge of angina and its management. When there is a decreased blood supply to the cardiac muscle, the heart does not receive enough oxygen. Plaque is made up of fat, cholesterol, calcium, and other substance found in the blood.
Provide adequate ventilation in the room.
Note: Often these drugs alone are sufficient to relieve angina in less severe conditions. This site uses Akismet to reduce spam.
To allow the patient to openly express their concerns about diagnosis and treatment. 5,800 Views.
Nitrates – to relax the blood vessels in order to increase the blood flow to the heart. Desired outcome: The patient will be able to maintain adequate cardiac output. The following drugs may be used to treat angina: Surgery. The time of monitoring of vital signs may depend on the peak time of the drug administered. We are compensated for referring traffic and business to Amazon and other companies linked to on this site. Symptoms of angina in women may also include abdominal pain and stabbing pain instead of a pressure feeling on the chest. Assess the factors that contribute to the patient’s sense of powerlessness. Along with chest pain, the patient may experience shortness of breath, radiating pain to the shoulder, arm, jaw, back, and even the teeth. Administer supplemental oxygen, as prescribed. Nuclear stress test –the injection of a radioactive substance to measure the blood flow to the heart, both when the patient is at rest and when inducing stress through exercise.
Educate the patient about deep breathing exercises and relaxation techniques. To provide information on angina, its pathophysiology, and management in the simplest way possible. Smoking cessation, low cholesterol diet, blood pressure control, stress management, and increased physical activity/ exercise may prevent angina episodes and lower the risk for the development of coronary artery disease (CAD). Administer prescribed medications for coronary artery disease and angina. Advice the next-of-kin/ significant others to practice active listening when communicating with the patient.
Identify precipitating event, if any: frequency, duration, intensity, and location of pain. Administer prescribed medications that alleviate the symptoms of angina. Symptoms of angina may also differ depending on the specific type. Blood tests – Cardiac enzymes such as Troponin T and Troponin I as well as proteins such as creatinine phosphokinase (CPK) and myoglobin may leak into the blood stream when the cardiac blood vessels are damaged. During an angina episode, the chest pain may radiate to the shoulders, neck, back, jaw, or arms. Facilitates gas exchange to decrease hypoxia and resultant shortness of breath. Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Stress causes a persistent increase in cortisol levels, which has been linked to people with cardiac issues. Evaluate reports of pain in jaw, neck, shoulder, arm, or hand (typically on left side). Nurse Salary 2020: How Much Do Registered Nurses Make? The nicotine in cigarettes facilitates the constriction of blood vessels, which then increases the cardiac workload. St. Louis, MO: Elsevier. Finding help online is nearly impossible. Note: Isordil may be more effective for patients with variant form of angina. Nursing Diagnosis: Activity intolerance related to reduced oxygen supply to the heart, as evidenced by fatigue, overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion. Crohn’s Disease NCLEX Review Care Plans Nursing Study Guide on Crohn’s Disease Crohn’s disease is …, Your email address will not be published. Nitroglycerin has been the standard for treating and preventing anginal pain for more than 100 yr.
Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Encourage the patient to express any concerns, feelings, and fears. 887 Views. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. To check the patient’s mental health. Long-acting preparations are used to prevent recurrences by reducing coronary vasospasms and reducing cardiac workload. Plaque narrows the arteries and reduces blood flow to your heart muscle.
A smoking cessation team can provide further help and advice on how to stop smoking and can also monitor the patient’s progress when he/she is back in the community. Verbal expression of feelings and fears can help avoid internal emotional turmoil and negative-self talk. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans. This eventually damages the lining of the coronary arteries, as well as other blood vessels. To create a baseline of activity levels and mental status related to fatigue and activity intolerance. Long-term chest pain may be diagnosed as refractory angina. eval(ez_write_tag([[580,400],'nursestudy_net-medrectangle-4','ezslot_8',116,'0','0'])); There are three types of angina, which include stable, unstable, variant/ prinzmetal angina, and microvascular angina.
Nursestudy.net © Copyright 2020, All Rights Reserved. Unstable angina is sometimes grouped with MI under the diagnosis of acute coronary syndrome. Give 0.4 mg sublingual tab, wait 5 minutes, if the chest pain … To avoid triggering angina by allowing the patient to pace activity versus rest. Learn how your comment data is processed. Desired Outcome: The patient will verbalize awareness of anxiety and will be able to demonstrate effective coping strategies. Nitrates – to relax the blood vessels in order to increase the blood flow to the heart.
How to Start an IV? Place the patient in complete bed rest during angina attacks. Angioplasty with stent placement – also known as percutaneous coronary revascularization which involves the insertion of a catheter into the affected artery followed by inflation of balloon and insertion of a stent to keep the blood vessel open. Other names for coronary artery disease are atherosclerosis, coronary heart disease, hardening of the arteries, heart disease, ischemic heart disease and narrowing of arteries. Reduces myocardial oxygen demand to minimize risk of tissue injury. 50+ Tips & Techniques on IV... IV Fluids and Solutions Guide & Cheat Sheet (2020 Update), Cranial Nerves Assessment Chart and Cheat Sheet, Diabetes Mellitus Reviewer and NCLEX Questions (100 Items), Drug Dosage Calculations NCLEX Practice Questions (100+ Items). Assess the patient’s activities of daily living, as well as actual and perceived limitations to physical activity. Provide light meals. Encourage the patient to follow a low cholesterol, high caloric diet. Assess the patient’s vital signs and characteristics of pain at least 30 minutes after administration of medication. Nursestudy.net © Copyright 2020, All Rights Reserved, Nursing Interventions for Chest Pain Angina. Other medications that help treat angina include anti-cholesterol drugs (e.g. Statins such as atorvastatin – also called as anti-cholesterol drugs used to reduce the deposits on the arterial walls, Beta blockers – to decrease the cardiac demand for oxygen by means of lowering the heart rate and blood pressure levels, Calcium channel blockers – to widen the blood vessels by vasodilation, Ranolazine – to treat angina, on its own or in combination with beta blockers, calcium channel blockers, and nitrates, Coronary artery bypass surgery – creation of a graft to reroute the blood flow away from the diseased artery). This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers!
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