Discuss patient education priorities and strategies for patients with cardiovascular
disease.
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Smoking cessation: The 5 A's: ask, advise, assess, assist, arrange a follow up
• Ensure they go home with Beta Blocker; ACE I; ASA and Plavix;
Statins;NTG
• NSAIDS are absolutely contraindicated (ASA is NOT an NSAID/and isNOT
contraindicated)• Mediterranean Diet, Low Na
+ diet, and weight reduction• Cardiac Rehab
• S/Sx of stable angina versus ACS
• S/Sx of depression• SE of all medications and empower them to manage
the regimen33
Apply knowledge of cardiovascular physiology in relation to cardiac anatomy and the
conduction system of the heart, pathophysiology, pharmacology, chronic heart
conditions (from NUR 323) and physical assessment.
,Give this one a try later!
ok
Angina
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Chest Pain!
Types of Angina =
-Stable angina = substernal (under sternum) pain or
discomfort that is provoked by exertion or emotional stress
and is relieved by rest or nitroglycerin
-Unstable angina = ischemic chest pain that occurs at rest,
in a crescendo pattern, or issevere and of recent onset; falls
into category of ACS (not relieved by rest and nitro)
s/s =
• Retrosternal pain
• Poorly localized, may radiate•
May feel a “fullness” or choking sensation
• DM patients, elderly patients, and female patients may all
have different
sx– SOB, pallor, diaphoresis, dizziness, n/v,weakness
Nursing and Collaborative Dx for Angina=
-Activity intolerance or fatigue• Decreased cardiac output•
Risk for decreased cardiac tissue perfusion• Impaired
comfort• Nausea• Fear/anxiety• Health maintenance•
Sedentary lifestyle• Sexual dysfunction
Nursing goals for Angina• Treatment when sx start•
Prevention• Reduction of anxiety/stress• Understanding of
, disease and tx• Absence of complications• Adherence to
self-care plan14
Identify safety concerns in the clinical setting.
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Aspiration
falls
injuries
seizures
Suicide/Self Harm
Pressure Injury-
Infection risks
Describe the purpose, main side effect(s), expected outcome(s), and patient
education for filgrastim & pegfilgrastim the treatment of anemia and neutropenia
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Filgrastim and Pegfilgrastim
• Increases neutrophils (sub-q)
Minimize Period of Neutropenia
SE: Pain, redness at SC site, bone pain
Demonstrate effective problem solving skills.
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, Problem Solving
-Hold ad hoc, “touch base” meetings to regain situation awareness
-Discuss critical issues and emerging events
-Anticipate outcomes and likely contingencies
-Assign resources
-Express concerns
sinus bradycardia is characterized by ....
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normal p waves rate less than 60 bpm, and RR
Identify precautions to prevent the transmission of infections agents:
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*Standard precautions = (hand hygiene, gloves)
•– Contact = (Gown, gloves) ex. C-Diff
Transmission-based precautions:
– Droplet = ( Mask) ex. Meningitis, influenza, COVID-19 (Note: Influenza
and COVID-19 can
become airborne during some procedures)
– Airborne (N95 mask) ex. TB
disease.
Give this one a try later!
Smoking cessation: The 5 A's: ask, advise, assess, assist, arrange a follow up
• Ensure they go home with Beta Blocker; ACE I; ASA and Plavix;
Statins;NTG
• NSAIDS are absolutely contraindicated (ASA is NOT an NSAID/and isNOT
contraindicated)• Mediterranean Diet, Low Na
+ diet, and weight reduction• Cardiac Rehab
• S/Sx of stable angina versus ACS
• S/Sx of depression• SE of all medications and empower them to manage
the regimen33
Apply knowledge of cardiovascular physiology in relation to cardiac anatomy and the
conduction system of the heart, pathophysiology, pharmacology, chronic heart
conditions (from NUR 323) and physical assessment.
,Give this one a try later!
ok
Angina
Give this one a try later!
Chest Pain!
Types of Angina =
-Stable angina = substernal (under sternum) pain or
discomfort that is provoked by exertion or emotional stress
and is relieved by rest or nitroglycerin
-Unstable angina = ischemic chest pain that occurs at rest,
in a crescendo pattern, or issevere and of recent onset; falls
into category of ACS (not relieved by rest and nitro)
s/s =
• Retrosternal pain
• Poorly localized, may radiate•
May feel a “fullness” or choking sensation
• DM patients, elderly patients, and female patients may all
have different
sx– SOB, pallor, diaphoresis, dizziness, n/v,weakness
Nursing and Collaborative Dx for Angina=
-Activity intolerance or fatigue• Decreased cardiac output•
Risk for decreased cardiac tissue perfusion• Impaired
comfort• Nausea• Fear/anxiety• Health maintenance•
Sedentary lifestyle• Sexual dysfunction
Nursing goals for Angina• Treatment when sx start•
Prevention• Reduction of anxiety/stress• Understanding of
, disease and tx• Absence of complications• Adherence to
self-care plan14
Identify safety concerns in the clinical setting.
Give this one a try later!
Aspiration
falls
injuries
seizures
Suicide/Self Harm
Pressure Injury-
Infection risks
Describe the purpose, main side effect(s), expected outcome(s), and patient
education for filgrastim & pegfilgrastim the treatment of anemia and neutropenia
Give this one a try later!
Filgrastim and Pegfilgrastim
• Increases neutrophils (sub-q)
Minimize Period of Neutropenia
SE: Pain, redness at SC site, bone pain
Demonstrate effective problem solving skills.
Give this one a try later!
, Problem Solving
-Hold ad hoc, “touch base” meetings to regain situation awareness
-Discuss critical issues and emerging events
-Anticipate outcomes and likely contingencies
-Assign resources
-Express concerns
sinus bradycardia is characterized by ....
Give this one a try later!
normal p waves rate less than 60 bpm, and RR
Identify precautions to prevent the transmission of infections agents:
Give this one a try later!
*Standard precautions = (hand hygiene, gloves)
•– Contact = (Gown, gloves) ex. C-Diff
Transmission-based precautions:
– Droplet = ( Mask) ex. Meningitis, influenza, COVID-19 (Note: Influenza
and COVID-19 can
become airborne during some procedures)
– Airborne (N95 mask) ex. TB
