ANA - Coronary Artery Disease

Angina
Ineffective tissue :Cardiac
Keep the prescribed tablet at the person’s side so that e can take it at the onset of . Anginal pain indicates Myocardial GTN causes improving supply which relieves pain and ischaemia
Plan activity to allow between them
Teach about prescribed medications to maintain myocardial perfusion reduce cardiac work.
Instruct to take sublingual before engaging in that precipitate angina such as (climbing stairs, sexual intercourse, etc)
Encourage the person to have an program under of a primary care provider or a cardiac professional
Refer individual to program as indicated.
Risk of therapeutic regimen management
Assess knowledge and understanding of
individual about angina and atherosclerosis, building on current base
Provide and instructions prescribed medication and their use
Stress the importance of taking seriously while maintaining a attitude.
Refer to a or other organised activities and groups for individuals with CHD

MI
Acute Pain
Assess for verbal and signs of pain. Document characteristics and the intensity of pain using a
Administer O2 at to L/min per nasal prongs.
Promote physical and psychological . Provide information and emotional support
Administer prescribed PRN medication
Ineffective Tissue Perfusion
Assess and document vital sign. Report BP, HR change in , and RR
Assess for change in LOC:decrease urine output, delayed Cap , and diminished pedal pulses
Auscultate and breath sounds. Note for abnormal sounds
Ineffective coping
Established an environment of caring and trust. Encourage patient to express feelings
Accept denial as a coping mechanism, but do not reinforce it
Note behaviours, hostility or anger.
Provide opportunities for the person to make about the plan of as much as possible
Provide for the person and significant other to share their questions and concerns
Fear
Identify the person’s noting verbal and non-verbal signs
the person’s perception of the situation. Allow individuals to verbalise their concern
Encourage questions and provide consistent, answers
Encourage self-care
Teach non-pharmacological methods of (e.g. relaxation technique,breathing exercises, meditation, massage)