coronary artery disease megan mcclintock. coronary artery disease definition...
Post on 17-Dec-2015
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Coronary Artery Disease
• Definition
• Etiology/Pathophysiology
• Risk Factors– Unmodifiable– Modifiable
• Signs & symptoms– Angina pectoris– Acute coronary syndrome– Sudden cardiac death
Angina
• Types• Etiology/Pathophysiology• Diagnostic studies• Drug therapy
– Aspirin– Nitrates– Beta-adrenergic blockers– Calcium channel blockers
• Surgical therapy– PCI– Stent placement– Atherectomy– Laser Angioplasty– Myocardial revascularization
Angina Interventions
• Health promotion– Management of risk factors– Nutrition therapy– Drug therapy for hyperlipidemia
• Acute– Administer oxygen– Vital signs– ECG– Nitrate followed by narcotic– Heart sounds– Comfortable positioning
• Ambulatory/Home Care– Prevention– Proper use of nitroglycerin
Myocardial Infarction
• Etiology/Pathophysiology• Signs & symptoms
– Angina– Pain– Nausea/vomiting– Sympathetic nervous system stimulation– Fever– CV manifestations
• Complications– Arrhythmias– CHF– Cardiogenic shock– Papillary muscle dysfunction– Ventricular aneurysm– Pericarditis– Dressler syndrome– Pulmonary embolism
Myocardial Infarction
• Diagnostic studies– ECG findings– Serum cardiac markers
• Treatment– IV– Morphine sulfate– Oxygen– Reperfusion therapy
• Fibrinolytics• Cardiac catheterization• PCI
– Drug therapy• Nitroglycerin• Antiarrhythmics• Morphine• Beta-adrenergic blockers• ACE inhibitors• Stool softeners
– Nutrition therapy
MI Interventions
• Nursing care plan (pg ______)• Acute
– Pain assessment– Morphine– Monitoring– Rest– Anxiety– Denial
• Ambulatory/Home Care– Cardiac rehabilitation– Teaching– Exercise– Resumption of sexual activity
Sudden Cardiac Death
• Definition
• Etiology/Pathophysiology
• Risk factors
• Interventions– Diagnostic workup– Antiarrhythmics– ICD
Congestive Heart Failure
• Definition• Etiology/Pathophysiology• Types
– Left-sided failure– Right-sided failure
• Signs & symptoms– Acute
• Pulmonary edema– Chronic
• Fatigue• Dyspnea• Tachycardia• Edema• Nocturia• Skin changes• Behavioral changes• Chest pain• Weight changes
Congestive Heart Failure
• Complications• Diagnostic studies• Treatment
– Decreasing intravascular volume– Decreasing venous return– Decreasing afterload– Improving gas exchange and oxygenation– Improving cardiac function– Reducing anxiety– Biventricular pacing– Cardiac transplantation
Congestive Heart Failure
• Drug therapy– ACE inhibitors– Diuretics– Inotropic drugs– Beta-adrenergic agonists– Phosphodiesterase inhibitors– Calcium sensitizers– Vasodilators– Beta-adrenergic blockers
• Nutritional therapy– Sodium restriction– Fluid restriction– Weight reduction
CHF Interventions
• Nursing care plan (pg _______)
• Health Promotion
• Acute
• Ambulatory/Home Care– Drug instructions– Symptoms of hypokalemia– Energy saving behaviors
Cardiomyopathy
• Definition• Types
– Dilated• Etiology/pathophysiology• Signs & symptoms• Treatment
– Hypertrophic• Etiology/pathophysiology• Signs & symptoms• Treatment
– Restrictive• Etiology/pathophysiology• Signs & symptoms• Treatment
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