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Furthermore, maintaining the quality of nursing intervention demonstrates a beneficial impact on secondary prevention in patients with coronary artery disease (CAD) or heart failure [12]. Patient should take nitroglycerin prophylactically before any activity that is known to precipitate angina. Reassuring the patient can help relieve anxiety. Therefore, postoperative prevention is necessary to reduce the frequency of adverse cardiovascular events and other complications. ACE inhibitors have little effect on the heart rate and blood pressure.
Lecture Part 2 on Coronary Artery Disease. Scholars Jokanovic Natali et al. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Silvestri, L. A. Saunders comprehensive review for the NCLEX-RN examination. 7%, ), which was consistent with the findings of Yu Mingming et al. Pain relief measures were taken for the patients with pain in accordance with the doctor's advice, while psychological nursing was adopted to relieve their anxiety and restlessness. Acute Pain Care Plan. In the same period, the mortality of CHD patients in urban and rural areas in China also showed an increasing trend, with annual deaths of over one million, ranking second in the world [3]. Statistical Processing. The assessment was carried out after training, and the qualified nurses could nurse the patients.
Participate in learning process. Radionuclide ventriculography shows wall motion abnormalities and ejection fraction. Occupational risks of recurrent coronary heart disease. Join to watch the full lesson now. Nursing Diagnosis: Anxiety.
Assess stress levels. The Likert's five-level scoring method was used, and a higher score demonstrated stronger self-management ability. The main characteristics of CHD patients are summarized in Table 1. Nursing care plans: Diagnoses, interventions, & outcomes. Panminerva Med 2021. Timely and accurate identification, management, and treatment of both anxiety and CAD are essential. Targeted community nursing is more likely to benefit CHD patients because most patients can still maintain a high level of health knowledge during hospitalization after surgery, while enhancing their self-management ability on the basis of external intervention, thereby reducing the incidence of postoperative complications. 2022;101(14):e29091. A total of 1088 patients with CHD were recruited in Qiqihar Medical University between May 2017 and June 2019. Pulmonary assessment: Breath sounds, ventilator settings, response to mechanical ventilation, secretions. Surgical interventions like coronary angioplasty and stent placement may be indicated to remove blockages, widen the artery, and restore blood flow to the heart. There are several risk factors that may promote the buildup of plaque in a coronary artery.
Results: A total of 2, 039 citations from electronic databases were identified; 55 articles were eligible for inclusion. Monitor vital signs and cardiac rhythm. According to the order of admission, 120 patients were equally split into the observation group and reference group. Anderson L, Brown JP, Clark AM, Dalal H, Rossau HK, Bridges C, Taylor RS. Guan H, Dai GH, Gao WL, Zhao X, Cai ZH, Zhang JZ, Yao JX. Note: Isordil may be more effective for patients with variant form of angina. Place patient at complete rest during anginal episodes. 0% at one year after surgery [15].
Mnaifestations include unstable angina, non ST-segment elevation infarction, and ST-segment elevation infarction. Allow adequate rest periods. Explain the cardiac catheterization to the patient. Use of oral contraceptives. Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Rationale: Patients with unstable angina have an increased risk of acute life-threatening dysrhythmias, which occur in response to ischemic changes and/or stress. This will help decrease episodes of chest pain. Mediastinal drainage and autotransfusion. Patient teaching about disease process and planned treatments, including medication regimen. Sleep quality, sleep score and sleep duration was recorded during experiments in all CHD patients as described previously [17]. Conflicts of Interest. Rationale: Reduces myocardial oxygen demand to minimize risk of tissue injury.
Authors: Selina Jarvis is research nurse and former Mary Seacole development scholar, Kingâs College Hospital Foundation Trust; Selva Saman is consultant, Port Shepstone Regional Hospital, Port Shepstone, South Africa. The study was approved by the Ethical Community, Nursing School of Qiqihar Medical University. Reinforce the importance of notifying nursing staff whenever angina pain is experienced. Surgical Interventions. If the patient is scheduled for surgery, explain the procedure and events. In recent years, the promotion of medical alliances provides a better basis for the development of doctor-nurse integration, which enables doctors and nursing staff of public hospitals to help community doctors and nurses. However, due to low emotional clarity, most of CHD patients develop symptoms of alexithymia, anxiety, and depression [4]. Therefore, the patients' negative emotions were reduced, and their self-efficacy was improved. Handbook for Brunner & Suddarth's, Textbook of Medical-SurgicalNursing, 11th ed. Tell patient the medical regimen has been designed to limit future attacks and increase cardiac stability. Stress the need to follow the prescribed drug regimen. Education about procedures: EKG, stress test, heart cath, lipid profile blood test.
Encourage immediate reporting of pain for prompt administration of medications as indicated. Comprehensive nursing intervention. Beta-blockers reduce the workload of the heart. Increasing physical activity by doing at least 150 minutes of moderate aerobic exercises will help promote an active lifestyle. Have patient rest for 1 hr after meals. Plavix takes a while to clear in the body's system. To continue reading this clinical article please log in or subscribe. A discriminant content validity study of the Toronto-alexithymia-scale-20.
Let patient/SO know these are normal reactions. Desired outcome: The patient will be able to maintain adequate cardiac output. Xu JX, Wu LX, Jiang W, Fan GH. Oral forms are under investigation.