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Ischemic Heart Diseases : angina pectoris download (13) - Coggle Diagram
Ischemic Heart Diseases : angina pectoris
download (13)
signs and symptoms
shortness of breath
fatigue
dizziness
pain that may spread to arm, neck or shoulder
rapid or irregular heart beat
pathophysiology
restriction of myocardial blood flow
increase of oxygen demand
caused by myocardial ischemia
result from atherosclerotic narrowing of epicardial coronary artery
nursing intervention
administer sublingual nitroglycerin and oxygen
assess vital signs and symptoms of pain
obtain 12 leads of ECG immediately during acute chest pain
instruct patient to inform the nurse when experiencing pain.
put the patient on bed res in semi fowler position
causes
heart is not getting enough oxygen
coronary artery disease
imbalance between myocardial oxygen supply and demand
prevention and control
avoid obesity
avoid high cholesterol
control diabetes, high blood pressure
avoid poor diet
avoid stress
avoid smoking
Diagnosis
stress testing
cardiac catherization
electrocardiogram
blood test
chest X-Ray
treatment
nitrate - relax blood
ranolazine- substitute if cant take beta blockers
aspirin reduce clot
calcium channel blocker beta blockers
diet
eat not fat dairy products
avoid food contain high level of sodium
choose lean proteins, fish and beans
read food labels
eat plenty of fruits and vegetables and whole grain