Documente Academic
Documente Profesional
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Group Members
1. Andrew Moyo
2. Alex Mbewe
3. Mtisunge Wandale
4. Monica Banda
5. Jacqualine Ntaba
6. Nelson Munthali
7. Rosella Munyenyembe
PRESENTS
ANGINA PECTORIS
BROAD OBJECTIVE
Dyspnea
Sweating/ diaphoresis
Faintness
Palpitations
Dizziness
Indigestive disturbances
DIAGNOSTIC EVALUATION
Electrocardiography (ECG)
- an ECG recorded in the presence of pain may
record transient ischemic attacks.
- it also suggest coronary artery’s involvement and
the extent of the myocardium affected by the
ischemic event
Exercise electrocardiography
- This involves the client exercising on a treadmill or
stationery bicycle until reaching a maximum of 85%
heart rate.
If any change in the ECG or vital signs may indicate
the presence of ischemia
Radioisotope
- this involves the use of different nuclear imaging
techniques to evaluate heart muscles.
- regions of ischemia appear as areas of
diminished activity
Ultrafast computed tomography
- it enables detection of the amount of calcium in
the coronary arteries. High coronary calcium
rate is associated with obstructive coronary
disease.
Coronary angiography
- it detect the percentage of blockage in
coronary artery
- it remains the most accurate test
Chest x-ray
- it allows the detection of cardiomegaly and
non cardiac causes of chest pain e.g
pneumonia
NURSING ASSESSMENT
SUBJECTIVE DATA
Past health history
- previous history of cardiac artery
disease, angina, myocardial infarction, anemia and heart
failure
Medications
- use of aspirin, calcium channel blockers and
antihypertensive
Family history
- history of heart disease, tobacco use
Nutritional history
- heart burn, nausea, vomiting
Coping stress mechanism
- anger, anxiety, depression and stressful life style
OBJECTIVE DATA
General
- anxiety, fear, restlessness
Integumentary
- cool, clammy, pale skin
Cardivascular
- tachycardia or bradycardia, dysrhythmias, low Bp or hypertension
Possible findings
- increase in white blood cell count, positive exercise stress test, ST
segment and T wave abnormalities on ECG, cardiac
enlargement, pulmonary congestion on chest x-ray and positive
coronary angiography.
NURSING DIAGNOSIS
Acute pain related to myocardial ischemia as
evidenced by severe chest pain and tightness
Ineffective tissue perfusion related to myocardial
injury as evidenced by dyspnea, decrease in Bp.
Anxiety related to perceived or actual threat of death,
pain and possible life style changes as manifested by
restlessness and patient asking too much questions
Activity intolerance related to fatigue secondary to
decreased cardiac output and poor lung and tissue
perfusion as manifested by increased heart rate
Ineffective therapeutic regimen management
related to lack of knowledge of disease
process as evidenced by frequent
questioning about the illness and
management after discharge
NURSING MANAGEMENT