Nursing Diagnoses for Coronary Artery Disease

Ineffective Tissue Perfusion Related to decreased compliance, contractility, & cardiac output

Patient will understand how to take medications & what symptoms to report. Patient will reduce activity as needed to maintain optimal tissue perfusion. Patient will describe emergency actions to take when experiencing chest pain.

Assess & document vital signs. Assess for changes in level of consciousness, & manifestations of impaired tissue perfusion. Auscultate heart & lung sounds. Monitor ECG continuously. Monitor oxygen saturation levels & administer oxygen as ordered. Administer antidysrhythmic medications PRN. Monitor cardiac markers. Monitor invasive hemodynamic labs.

<p>Decreased cardiac output activates compensatory mechanisms that may cause tachycardia, vasoconstriction, which increases cardiac workload.</p> Signup and view all the answers

<p>It is usually the first sign of altered cardiac perfusion because brain tissue &amp; cerebral function depend on continuous supply of oxygen.</p> Signup and view all the answers

<p>Dysrhythmias can further impair cardiac output &amp; tissue perfusion.</p> Signup and view all the answers

<p>Oxygen saturation is an indicator of gas exchange, tissue perfusion, &amp; effectiveness of oxygen administration. ABG's provide precise measurement of blood oxygen levels &amp; allow assessment of acid-base balance.</p> Signup and view all the answers

<p>Dysrhythmias affect tissue perfusion by altering cardiac output.</p> Signup and view all the answers

<p>Ineffective Health Maintenance Related to Inability to Identify Risk Factors Secondary to CAD.</p> Signup and view all the answers

<p>Patient will verbalize modifiable risk factors. Patient will describe dietary changes to reduce risk. Patient will alter lifestyle to include increasing activity, quitting smoking, or changing diet.</p> Signup and view all the answers

<p>Patient will describe lifestyle choices that may worsen CAD. Patient will prevent cardiac muscle damage by complying with treatment regimen. Patient will control blood pressure through proper administration of medications, nutritional changes, &amp; exercise as tolerated.</p> Signup and view all the answers

<p>Describe risk factors for CAD. Discuss immediate benefits of smoking cessation &amp; provide resource material. Help identify sources of psychosocial &amp; physical support for smoking cessation, dietary, &amp; lifestyle changes. Discuss benefits of regular exercise &amp; identify favorite forms of exercise. Provide &amp; teach information on medications.</p> Signup and view all the answers

<p>30 minutes of continuous aerobic exercise, 4 to 5 times per week.</p> Signup and view all the answers

<p>Acute Pain Related to myocardial ischemia.</p> Signup and view all the answers

<p>Patient will maintain tolerated pain level.</p> Signup and view all the answers

<p>Administer oxygen 2 to 5 liters per minute per nasal cannula. Promote physical &amp; psychological rest. Titrate IV nitroglycerin as ordered to relieve pain, maintain BP. Administer 2 to 4 mg of Morphine IV push for chest pain PRN.</p> Signup and view all the answers

<p>It increases oxygen supply to the myocardium, decreasing ischemia &amp; pain.</p> Signup and view all the answers

<p>Rest decreases cardiac workload &amp; SNS stimulation, promoting comfort. Emotional support decreases anxiety.</p> Signup and view all the answers

<p>It decreases chest pain by dilating peripheral vessels, improving blood flow to ischemic tissues.</p> Signup and view all the answers

<p>It decreases pain &amp; anxiety, acts as a venodilator, &amp; decreases respiratory rate, resulting in reduction of preload &amp; SNS stimulation, reduces cardiac work &amp; oxygen consumption.</p> Signup and view all the answers