Nursing diagnosis for coronary heart disease. Coronary artery disease (CAD) & angina pectoris: Nursing Process (ADPIE) 2022-12-11

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Coronary heart disease (CHD) is a leading cause of death and disability worldwide. It is a condition in which the coronary arteries, which supply blood and oxygen to the heart muscle, become narrowed or blocked due to the accumulation of plaque in the arterial walls. This can lead to chest pain, heart attack, and other serious complications.

As a nurse, it is important to accurately diagnose CHD in order to develop an appropriate care plan and prevent further complications. One of the main tools used for this purpose is the nursing diagnosis. A nursing diagnosis is a clinical judgment about an individual's response to actual or potential health problems or life processes. It is based on the patient's signs and symptoms, as well as the nurse's assessment of the patient's physical, psychological, and social needs.

The most common nursing diagnosis for CHD is "Ineffective tissue perfusion related to reduced coronary artery blood flow." This diagnosis is based on the fact that CHD leads to decreased blood flow to the heart muscle, which can result in tissue damage and impaired function. Other possible nursing diagnoses for CHD may include:

To effectively address these nursing diagnoses, the nurse must work closely with the patient, the patient's family, and the healthcare team to develop a comprehensive care plan. This may include medications to improve blood flow, lifestyle changes to reduce risk factors for CHD, and referrals to other healthcare professionals as needed. The nurse may also need to provide education and support to the patient and their family to help them understand the condition and manage their symptoms.

In conclusion, nursing diagnoses are an important tool for identifying and addressing the health needs of patients with CHD. By accurately diagnosing and addressing these needs, nurses can help to improve the patient's quality of life and prevent further complications from this serious and potentially life-threatening condition.

5 Congenital Heart Disease Nursing Care Plans

nursing diagnosis for coronary heart disease

Pooling of blood in the left heart chambers causes an increase in pressure, impairing the normal blood drainage from the lungs to the left atrium. The patient may be referred to a registered dietitian about different diet options before engaging. Provide adequate rest periods Rest decreases metabolic rate, decreasing myocardial and oxygen demand. Choose one of these four answers: A. This medication can also reduce heart load and relieve hypoxic conditions and hyperventilation. Your blood pressure is measured with a blood pressure cuff wrapped around your upper arm. Use rigorous aseptic procedures.

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Cardiac Catheterization Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for coronary heart disease

Allow the patient to practice and perform techniques e. Lastly, learning stress management techniques is helpful in lowering the risk for CAD. Diuretic treatment in heart failure. The signs and symptoms of heart failure are defined based on which ventricle is affected—left-sided heart failure causes a different set of manifestations than right-sided heart failure. But research is mixed. If headache is intolerable, alteration of dose or discontinuation of drug may be necessary. Reduces myocardial oxygen demand to minimize risk of tissue Elevate head of bed if patient is short of breath.

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Diagnosing Coronary Artery Disease

nursing diagnosis for coronary heart disease

Talk to your healthcare provider before you start any exercise program. Symptoms of acute coronary syndrome vary based on the location and severity of the blockage. Evaluate reports of pain in jaw, neck, shoulder, arm, or hand typically on left side. A child can experience a temporary regression in development due to anxiety-inducing conditions in their lives e. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams.

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Care Plan with Nursing Diagnosis for Coronary Artery Disease (CAD)

nursing diagnosis for coronary heart disease

Lack of mobility and bed rest allow the puncture site to stabilize, preventing bleeding. A crucial part of the treatment plan for a patient with heart failure is to change several habits that are linked to the disease. Emotional stress can stimulate the SNS, ultimately increasing cardiac workload. Congenital heart disease: the original heart failure syndrome. Adults should get their blood pressure checked by a health care provider at least every two years. Nursing interventions include promoting activity and reducing fatigue to relieve the symptoms of fluid overload.

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4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans

nursing diagnosis for coronary heart disease

ADVERTISEMENTS Nursing Care Plans Nursing care plan goals for patients with heart failure include support to improve heart pump function by various nursing interventions, prevention and identification of complications, and providing a teaching plan for lifestyle modifications. Reduced stroke volume and cardiac output are associated with weak pulses, while capillary refill is slow or nonexistent. PloS one, 14 3 , e0213614. Acute Coronary Syndrome Nursing Interventions Rationale Encourage rest periods. Obesity, inactivity, diet, and smoking. This may also be used with an echo. Eating one or two servings of fish a week also may help keep the heart healthy.

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Coronary Artery Disease Diagnosis

nursing diagnosis for coronary heart disease

Clients should be instructed to avoid abrupt position changes in order to prevent acute drops in blood pressure and falls; therefore, this client statement indicates a correct understanding of the safety instruction provided by the home care nurse related to the use of furosemide, a loop diuretic. Discontinue if SpO2 level is above the target range, or as ordered by the physician. Accessed March 8, 2022. This intervention provides additional resources for after-discharge reference. To increase the oxygen level and achieve an SpO2 value within the target of at least 94%.

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Coronary artery disease (CAD) & angina pectoris: Nursing Process (ADPIE)

nursing diagnosis for coronary heart disease

Medical-surgical nursing: Concepts for interprofessional collaborative care. Acknowledging and validating feelings promotes therapeutic communication, verifies nursing assessment, and alleviates fear and stress. Parts of the heart that move weakly may be caused by a lack of oxygen or a heart attack. Harris has a diagnosis of Because his This narrowing is caused by Over time, the plaque build up reduces myocardial perfusion and causes Myocardial ischemia leads to a type of chest pain called The clinical presentation helps to differentiate stable and O stands for onset, which for P is for palliation. Provide adequate ventilation in the room. Decreased cardiac contractility can lead to decreased urine output and weight gain due to fluid retention and decreased renal perfusion. It is a complete thrombotic occlusion of a major coronary artery resulting in myocardial injury or necrosis.

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Coronary Artery Disease Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for coronary heart disease

Limit visitors as needed. Which of the risk factors will the nurse indicate that are controllable or modifiable? Association between obesity and cardiovascular outcomes: A systematic review and meta-analysis of mendelian randomization studies. Diagnosis and management of acute coronary syndrome: an evidence-based update. Rare causes of ACS are coronary artery embolism, coronary artery spasm, and spontaneous coronary artery dissection SCAD. Changes in these vital signs are frequently associated with severe pain and discomfort.

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