Show Page 2
Learn about the nursing care management of patients with angina pectoris in this nursing study guide. What is Angina Pectoris?Cardiovascular disease is the leading cause of death in the United States for men and women of all racial and ethnic groups.
ClassificationThere are five (5) classifications or types of angina.
PathophysiologyAngina is usually caused by atherosclerotic disease.
CausesSeveral factors are associated with angina.
Clinical ManifestationsThe severity of symptoms of angina is based on the magnitude of the precipitating activity and its effect on activities of daily living.
Gerontologic ConsiderationsHere’s what you need to know when caring for geriatric patients with angina pectoris:
ComplicationsHere are the common complications for patients with angina pectoris.
Assessment and Diagnostic FindingsThe diagnosis of angina pectoris is determined through:
Medical ManagementThe objectives of the medical management of angina are to increase the oxygen demand of the myocardium and to increase the oxygen supply.
Pharmacologic Therapy
Nursing ManagementThe patient with angina pectoris should be managed by a cardiac nurse specifically. Nursing AssessmentIn assessing the patient with angina, the nurse may ask regarding the following:
Nursing DiagnosisBased on the assessment data, major nursing diagnosis may include:
Nursing Care Planning and GoalsMain Article: 4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans Major patient goals include:
Nursing InterventionsNursing interventions for a patient with angina pectoris include:
EvaluationThe expected patient outcomes are:
Discharge and Home Care GuidelinesThe goals of education ate to reduce the frequency and severity of anginal attacks, to delay the progress of the underlying disease if possible, and to prevent complications.
Documentation GuidelinesThe focus of documentation in a patient with angina pectoris includes:
Practice Quiz: Angina PectorisHere’s a 5-item quiz about the study guide. Please visit our nursing test bank for more NCLEX practice questions. 1. The pain of angina pectoris is produced primarily by: A. Vasoconstriction. B. Movement of thromboemboli. C. Myocardial ischemia. D. The presence of atheromas. 2. The nurse advises a patient that sublingual nitroglycerin should alleviate angina pain within: A. 3 to 4 minutes. B. 10 to 15 minutes. C. 30 minutes. D. 60 minutes. 3. The scientific rationale supporting the administration of beta-blockers is the drug’s ability to: A. Block sympathetic impulses to the heart. B. Elevate blood pressure. C. Increase myocardial contractility. D. Induce bradycardia. 4. Calcium channel blockers act by: A. Decreasing SA node automaticity. B. Increasing AV node conduction. C. Increasing the heart rate. D. Creating a positive inotropic effect. 5. All of the following are type of angina except for: A. Stable angina. B. Unstable angina. C. Refractory angina. D. Direct angina. Answers and Rationale 1. Answer: C. Myocardial ischemia. Ischemia causes lactic acid production that triggers the pain. 2. Answer: A. 3 to 4 minutes. Nitroglycerin given sublingually alleviates angina pain within 3 minutes. 3. Answer: A. Block sympathetic impulses to the heart. Beta-blockers reduces myocardial oxygen consumption by blocking beta-adrenergic stimulation of the heart. 4. Answer: A. Decreasing SA node automaticity. Calcium channel blockers decrease sinoatrial node automaticity. 5. Answer: D. Direct angina. Direct angina is not a type of angina. See AlsoPosts related to this care plan: [sc name=”Affiliate_MedicalSurgical”] |