![]() ![]() The patient’s understanding of normal coronary circulation, atherosclerotic circulation and the importance of oxygen supply to the myocardium will provide a rationale for the treatment.ĭiagnostic procedures for evaluating coronary artery disease are like following: Physiology of coronary circulation and atherosclerotic formation process. Inform the patient regarding the following: Nursing intervention for deficient knowledge in angina pectoris Interventions But it is the starting point of the treatment process. Behavioural change is not an easy task to do. Risk factors like smoking, heavy meals, obesity etc. It also helps to prepare a teaching plan for the patient and his/her family members regarding angina pectoris.Įvaluate whether the patient had compliance with previously prescribed lifestyle modifications. It gives an idea of what the patient knows and what not. Nursing assessment for deficient knowledge in angina pectoris AssessmentĪssess the patient’s knowledge regarding causes, diagnostic tests, treatment plan, and risk factors for angina pectoris. The patient describes possible risk factors for heart disease and measures to reduce them. ![]() The patient verbalizes correct information about angina pectoris and its treatment plan.Verbalizing wrong and inaccurate information.Inaccurate follow-through of prescribed treatment.Asking frequent questions to the health care team.Unfamiliarity with disease process and treatment.Anxiety increases the oxygen demand of the body as well as the myocardium. Inform the patient and his/her family member about diagnostic procedures, duration of stay, and treatment regimen. In the hospital setting, administer oxygen if needed.Īn increase in oxygen concentration in arterial blood fulfils the oxygen demand of the body and relieves pain. If chest pain does not relieve after three doses of NTG, immediately seek medical attention.Ĭhest pain after three doses of NTG indicates ‘unstable angina. Nowadays most of the patient use nitroglycerine spay which is easier to use. This information about nitroglycerine helps the patient to take the medication in the right way when needed. This therapy is repeated up to three doses of nitroglycerine. If the chest pain does not subside in 5 to 10 minutes advise the patient to take another. While administering nitroglycerine, instruct the patient to place it under the tongue.Īdvice the patient to lie down or sit. The myocardium could not get sufficient oxygen. In case of discomfort body’s oxygen consumption increases. Instruct the patient to relax and provide comfort measures. Nursing interventions for acute pain in angina pectoris Nursing intervention If chest pain does not subside after rest and nitroglycerine administration, it requires immediate attention. After administration of nitroglycerin, vasodilation occurs and blood pressure drops.Ĭheck the patient for improvement in health conditions. As a result, it increases blood pressure and heart rate. ![]() Finding out the difference between myocardial infarction and angina pectoris helps to provide appropriate intervention.Ĭheck vital signs regularly during chest pain and after administration of nitroglycerin.Ĭhest pain stimulates the sympathetic nervous system. Old age patients may have more fatigue and shortness of breath in angina.Īssess whether this pain is acute or chronic.Īngina that is less than 2 months, severe, or frequent are considered as ‘ unstable angina.Īssess accurate angina by performing an electrocardiogram.Īngina pectoris show changes in ST-segment and T-wave. ![]() Relieving factors: Rest or after use of medications like nitroglycerin (NTG)Ĭharacteristics of pain are necessary to find out the type of pain. Onset and aggravating factors: episodic, usually appears after physical exertion, emotional stress, heavy meal, smoking and exposure to high temperature. Location: Below the sternum, it may radiate to arms, shoulders, neck, back and jaw. Quality: choking, squeezing, burning, heaviness, etc. Nursing assessment for acute pain in angina pectoris Assessment Nursing diagnosis for angina pectoris Nursing diagnosis-1: Acute pain Related factors Nursing interventions for risk of ineffective coping in angina pectoris.Nursing assessment for risk of ineffective coping in angina pectoris.Nursing diagnosis-4: Risk for ineffective coping.Nursing interventions for activity intolerance in angina pectoris.Nursing assessment of activity intolerance in angina pectoris.Nursing diagnosis-3: Activity intolerance.Nursing intervention for deficient knowledge in angina pectoris.Nursing assessment for deficient knowledge in angina pectoris.Nursing diagnosis-2: Deficient knowledge.Nursing interventions for acute pain in angina pectoris.Nursing assessment for acute pain in angina pectoris. ![]()
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