STUDENT NAME _____________________________________
Coronary Artery Disorder
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
Plaque leads to reduced Accumulation of plaque If the patient smokes,
coronary blood flow witihin the layers of the stress cessation.
coronary arteries
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Thoroughly
Atherosclerosis: The hardening of Chronic stable angina: Substernal evaluate any
plaque in the artery. NonMod: chest pain, pressure, heaviness. complaint of chest
Age, sex, race, history. Modifiable: Unstable angina: Pain occuring at pain. Notify HCP
Diet, HTN, weight rest; no increase in O2 demand and obtain ECG
for complaints of
chest pain. Be
alert to common
Laboratory Tests Diagnostic Procedures alternative
Creatinine kinase, troponin, Chest pain and clinical history. presentations of
HbA1C and fasting lipid panel, Blood tests, 12 lead ECG, ECG CAD and MI:
coagulation studies, CRP, stress test, radionuclide, cardiac Women, diabetics,
hemoglobin catheterization, nitroglycerin test elderly.
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education Angina,
arrhythmias, heart
Thoroughly assess Nitrates, beta Teach the structure and failure, MI, sudden
anginal attack. Gather blockers function of the heart. death, related
information about cardiac calcium Explain the disease arterial disease
risk factors channel process thoroughly
blockers, ACE
inhibitors,
antilipid agent,
Therapeutic Procedures antiplatelet Interprofessional Care
Place patient in Fowlers agents, folic Nutritionist consult,
position and administer acid and B physical therapy consult,
oxygen.Obtain BP, apical comlex vitamins cardiology consukt,
pulse, and respiratory endocrinology consult.
rate.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11