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Chronic Stable Angina

by: Caroline

Chronic Stable Angina NUR 412

La Salle
GPA 3.0
Nursing Care of Adults, Altered Health 2

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About this Document

This is a great review of chronic stable angina and the defining characteristics. Goes over patient teaching, drug treatment, causes, types and diagnostic testing.
Nursing Care of Adults, Altered Health 2
Study Guide
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This 4 page Study Guide was uploaded by Caroline on Sunday September 6, 2015. The Study Guide belongs to NUR 412 at La Salle University taught by in Summer 2015. Since its upload, it has received 104 views. For similar materials see Nursing Care of Adults, Altered Health 2 in Nursing and Health Sciences at La Salle University.

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Date Created: 09/06/15
Chronic Stable Angina This is a clinical manifestation of CAD coronary artery disease Can be described by the patient as Indigestion burning Squeezing Pressureache Chokingsuffocation Sharp or stabbing pain is very rare for angina Location Radiating pain Chest Back Epigastric region Neckjaw Ear Duration 5 to 15 minutes usually The pain usually eases with rest and is exacerbated by activity What would be seen on the EKG of someone having angina 5 T segment depression and or 71wa ve in version Causes of Angina The demand for oxygen is greater then the oxygen that is being supplied which causes Angina occurs when Steps to teach patient who has chronic stable angina 1STOP what you are doing and REST if no relief 2Take NITROGLYCERIN tablet or tongue spray Repeat every 5 minutes with a MAXIMUM OF 3 DOSES if no relief 3 CALL 911 Always keep your health care provider informed about Maw often you need to use the nitroglycerin tablets Important Patient Teaching for Nitroglycerin 1 Keep the bottle in a dark dry area in a cabinet or drawer The medication can break down from light and humidity 2 When taken sublingually you should feel a slight tingle that means the medication is working 3 Maximum of 3 doses every 5 minutes during an angina attack 4 Can be used prophylactically before activity to prevent angina attacks 5 Always keep the health care provider informed how often you need to take nitro for acute attacks Goal for treatment of Chronic Stable Angina by resting stopping activity or dilate vessels by using nitroglycerin Types of Angina Silent lschemia associated with diabetic patients that have not allowing them to feel the pain from the ischemia There is an Microvascular Angina abnormalities of the coronary microcirculation There is Common in Prinzmetal39s variant Angina caused by a of a major coronary artery Symptoms occur at Pts with a hx of are more likely to have this type of angina Cocaine can cause this due to the vasospasm result of the drug Long term tx of vasospasm angina is different caciumchanne blockers are often used to dilate the vessels long term Diagnostic Studies of the Cardiovascular System You would expect to see these diagnostic tests ordered on a patient who comes in with chronic stable angina and many other cardiovascular probems Fasting bloodwork Lipids Triglycerides Cholesterol Lipoproteins 12 lead Electrocardiogram Shows the heart s electrical activity in the form of a strip with waves and intervals Stress test exercise Shows how much stress the heart can be put under in the form of exercise before the heart goes into an abnormal rhythm or develops ischemia angina Patient is usually placed on a treadmill during this test Nucear stress test Shows the blood ow to and from the heart while the heart is under stress exercise A small amount of radioactive dye is injected in order to view the heart and blood ow with a special kind of camera This will show if there are any ischemic areas in the heart Echocardiogram A type of ultrasound test that is used to view the heart It can also show blood ow to and from the heart the size of the heart any anatomical differences etc Chest X ray This will show the size and placement of the heart does not show blood ow or rhythm


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