An increased fluid intake is encouraged for patients taking the bile acid sequestrants to reduce the risk for constipation. The third nursing diagnosis for a patient with CAD that is a smoker and has an unhealthy diet is: CAD is a heart disease that is caused by impaired blood flow to or through the coronary arteries.
It also involves chest pain but the pain experienced is more frequent less predictable in terms of severity and duration, is often not associated with exercise, for example; during the night when sufferer is in bed and, is not easily resolved with treatment.
It is used in conjunction with lifestyle changes to reduce the advancement of CAD.
C A change in heart rate of more than 20 beats over the resting heart rate indicates that the patient should stop and rest. If the documentation is done correctly, it should measure whether the goal was met or not. The second priority nursing diagnosis would be: B Patients taking -adrenergic blockers should be monitored for hypotension and bradycardia.
If the goal would have been total smoking cessation, the goal would have only been partially met by joining a smoking cessation program. Activity intolerance related to weakness c.
When the plaques are disrupted and a thrombus is formed, blood flow is obstructed and a myocardial infarction MI can occur. Please read our Privacy and Cookies Policy to learn more.
D The bile acid sequestrants interfere with the absorption of many other drugs, and giving other medications at the same time should be avoided. Generalized muscle aches and pains b. A patient with hyperlipidemia has a new order for colesevelam Welchol. Mrs X, however, underwent an off pump CABG meaning that her heart continued to beat throughout the procedure but the tissue being operated on was held in place with an Octopus, a suction device used to stabilise the heart during surgery.
Anytime a medication is given, there should be documentation of how effective the medication was and if the pain goal was reached. Pathophysiology of MI Myocardial infarctions affect approximately?
To have a successful outcome for the diagnosis of Risk Prone Health Behavior, implementations and rationales should include: It helps provide structure for the vessel as a whole, being made of large collagen fibres, and helps to keep blood vessels in place by anchoring them to surrounding organs and tissue.
Nausea when taking the drugs before eating d. When titrating IV nitroglycerin Tridil for a patient with a myocardial infarction MIwhich action will the nurse take to evaluate the effectiveness of the medication? To have a successful outcome for the diagnosis of Risk Prone Health Behavior, implementations and rationales should include: There are two main arteries that provide blood to the heart, the left coronary artery and the right coronary artery.
Which response by the nurse is best? To evaluate the success of Acute Pain goals, documentation should be available for anytime pain is reported level and characteristics and when Morphine or Nitroglycerin is given. This test is done to ascertain the level of atherosclerotic build up within the coronary arteries.
Diagnosis and Treatment of Chronic Stable Angina: Knowing the risks can help encourage a healthier lifestyle. Teaching for this patient would include a. Our custom papers are written according to the highest standards of language and quality due to our vast experience and professionalism.
Interventional Cardiology and Cardiovascular Services.The Angina is one of the most popular assignments among students' documents. If you are stuck with writing or missing ideas, scroll down and find inspiration in the best samples.
Angina is quite a rare and popular topic for. Understanding the nursing implications and why these are so important to the health and welfare of clients is a thread throughout the case studies as well as the depth of knowledge nurses must have related to pharmacological and adjunctive therapies.
Published: Tue, 09 May The patient in context is a 61 year old male, Mr. X, admitted to hospital in the late evening for a case of unstable angina.
Presenting complaints include left-sided chest pain which was less severe than that of his previous admission and localized pain during rest. The second priority nursing diagnosis would be: Acute pain related to ischemia secondary to CAD as evidenced by restlessness, increased blood pressure, /88, and verbal report of pain in left shoulder and left jaw of 8/10 (on a numeric scale) that has been unrelieved by over the counter medications.
One group will research the potential effects Mr.Y’s anxiety and depression may have on Case Study 5 Unstable Angina Pectoris (Acute Myocardial Ischemia) 87 sistency with realities of modern nursing practice.
How to Use Every case begins with a table of variables that are encountered in practice. The history of more frequent chest pain suggests that the patient may have unstable angina, which is part of the acute coronary syndrome spectrum.
This will require rapid implementation of actions such as cardiac catheterization and possible percutaneous coronary intervention.Download