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microvascular complications (signs and symptoms (trouble sleeping,…
microvascular complications
decription
A condition in which small arteries in the heart become narrowed, causing signs and symptoms of heat disease.
signs and symptoms
trouble sleeping
shortness of breath
unusual fatigue
chest pain
loss of energy
abdominal, shoulder discoumfort
sweating
pathophysiology
the basement membrane of the capillaries thickens due to accumulation of sugars
impairing the exchange of nutrients, gases and waste products
there is tissue exposure to chronic hyperglycaemia
leading to retinopathy and neuropathy.
nursing management
monitor the vital signs two hourly
nurse the patient in the well ventilated environment
position the patient in the fowlers position
administer angiotensin converting enzyme inhibitors
health educate the patient on taking treatment well at home
teach the patient how to have a better lifestyle after discharge.
causes
large vessels being blocked
small vessel disease,narrowing small vessels in the heart
atherosclerosis
endothelial dysfunction
reduced blood flow in small vessels causing chest pain
risk factors
tobbaco use
high cholesterol
high blood pressure
diabetes
inactive lifestyle
insulin resistance
polycystic ovarian syndrome
diagnostic procedures
stress test with imaging
positron emission tomography
magnetic resonance imaging
endothelial function test
coronary angiogram