Care Plan Unstable Angina

CARE

:

PLAN OF

UNSTABLE

PATIENT

WITH

AN 

ANGINA 

 NURSING DIAGNOSIS: ineffective myocardial tissue  perfusion secondary to coronary artery disease (CAD) as . evidenced by chest pain or equivalent equivalent symptoms .Goal : relief of chest pain /discomfort 

 Nursing  : interventions the nurse must  -1 assess ,document, : and report  The patient  -1 description of chest   pain including  location, duration  ,intensity ,and other    symptoms like nausea, diaphoresis  ,or . fatigue The effect of -2 chest discomfort  on cardiovascular   perfusion (to the heart - CHANGE   IN BP- , to the brain , to the kidney .and to the skin

: Rationale

:Expected outcome

this data -1 determine the cause and the affect of  .chest pain

the chest  -1 discomfort  beginning relief at  . once the BP ,the -2 cardiac output , and  the heart rate will  return to normal  the respiratory -3 rate will be ..normal 

there are many -1 conditions associated with chest pain that  deepened on the location  ,duration ,and  intensity of the  pain . angina affect the -2 contractility and  may produce dysrythmias cardiac output . decrease resulting  in reduced BP and  the heart rate will  increase to

maintain cardiac .output  obtian a 12 lead -2  ECG recording  during the . symptomatic event  administer  -3 oxygen therapy as  prescribe . adminester -4 medication therapy as prescribed and  evaluate the patient  response .continuously

obtian a 12 lead -2  ECG recording  during the  symptomatic event  Oxygen therapy will  increase the oxygen . supply to the heart  Medication therapy is the first line of  defense in  preserving  myocardial tissue .the side effect may be hazards and the  patient state must  .be assessed 

. Nursing diagnosis: anxiety related to fear of death . Goal : reduction of anxiety

Nursing intervention Rationale Expected outcome  Assess the patient -1 This data -1 the patient will  -1 and his /her family  provide accept the .anxiety information about  diagnosis the psychological  the patient will  -2 well being .its accept the important to assess treatment and will  the family anxiety take his /her  because they may .medicines transmit their  anxiety to the  patient  .

let the patient s -2  family visit the  patient to support  .him/her 

 If the patient find   support from his  /her family ,this will reduce his anxiety allow patient to -2 Unresolved anxiety express anxiety and  and stress increase  fear by: * Showing  the myocardial  interest when oxygen .talking with him/her  . consumption  Answering the *  patient . s questions

 N ursing diagnosis: deficient knowledge about the . underlying disease and methods for avoiding complications G oal : adheres to the home health care program chooses lifestyle .Consistent with heart healthy recommendations

 Nursing  :interventions The nurse must told  the patient that  he/she must change his/her lifestyle this :can be a-Avoiding activity that that produce chest   pain,dyspnea ,or  . fatigue b- losing weight if  .indicated  c-perusing 

Rationale  ALL the previous activities help in   preventing many complications may :occur such as  Acute pulmonary * .edema congestive heart * . failure cardiogenic *  shock  . dysarythmias or * .cardiac arrest 

Expected outcomes The patient s will be  stable with no .complications The patient will be able to take the   process of angina and will avoid all   / complications

activities that  . decrease stress d - avoid big  meals ,smoking, and food that  increase BP and   glucose (MAINTAIN BP   AND GLUCOSE  .(   NORMAL

myocardial * .infarction myocardial * .rupture  pericardial * effusion and  .cardiac temponade