2_ASSESSMENT OF PATIENT WITH CORONARY ARTERY DISEASE Flashcards
This sudden increase in the mortality rate is the target of the DOH campaign: “ Healthy Lifestyle to the Max.”
- HEART DISEASE
The common causes of both top 1 and top 2 are arterial blockage or arteriosclerosis, smoking (also the most preventable), increased intake of fat and salty foods, and inactivity.
DISEASE OF THE VASCULAR SYSTEM
TOP 10 MORTALITY CASES
- Heart Disease
2.Disease of Vascular System - Malignant Pneumonia
- Accidents
- Tuberculosis of all forms
- Chronic respiratory Diseases
- Diabetes Mellitus
- Nephritis, Nephrotic Syndrome
- Certain conditions originating from perinatal period
Common illnesses which may require treatment in Intensive Care Unit
HEART DISEASE
VASCULAR DISEASE
RENAL DISEASE
*** DM is the aggravating factor
** Pneumonia is the complication
Most Common cause of cardiovascular disability and death.
CAD (CORONARY ARTERY DISEASE
)
is a disease wherein a waxy substance builds up in coronary arteries
CHD
accumulated plaques are called
Atherosclerosis
________ is pain which occurs in these areas of the body when your heart muscles don’t get enough oxygen rich blood
Angina
If the flow of oxygen-rich blood
heart muscle is blocked
↓
ANGINA (Stable or Unstable)
↓
HEART ATTACK
↓
HEART FAILURE
A client with chest pain and shortness of breathing arrived in the ER. You are about to perform a physical assessment on this patient. Data obtained in the nursing history of relevance to heart disease MUST include?
A. History of broken bones
B. Eating pattern
C. Amount of multivitamins the patient is taking
D. Drowning feeling at night
D. Drowning feeling at night
CVA Non-Modifiable Risk Factors
Family history of cardiovascular disease
. If a first-degree blood relative has had coronary heart disease or stroke before the age of ______ (for a male relative) or (for a female relative) risk increases.
55 years (male) and 65 years (female)
55 years old (male)
65 years old (Female)
_____ high risk in positive family history patient
1.7 times
Ethnic origin - ________ ancestry are at higher risks of developing cardiovascular disease
African or Asian
MODIFIABLE RISK FACTORS
Stress
Diet
Exercise
Cigarette Smoking
Alcohol
Hypertension
Hyperlipidemia- enhances atherosclerosis
Diabetes Mellitus
Obesity- result to increase cardiac workload
Personality type or behavioral factors
Contraceptive pills
Life Threatening Conditions:
● Cardiac problems
● Respiratory
● Kidney
● Neurologic Problem
● Severe electrolyte imbalance
● Endocrine problems
● Organ failure
NON MODIFIABLE RISK FACTORS
( A, G , E , F )
Age
Gender
Ethnicity
Family history
Modifiable Risk:
Release of norepinephrine
Stress
Modifiable Risk:
Increased risk in diet with high ______
Cholesterol, Sodium and Fats
Modifiable Risk:
Recommend Exercise
3 times / week
30-40 mins same pattern of exercise
Modifiable Risk:
Increased inhalation of C02 than O2
Cigarettes smoking
Modifiable Risk:
How many ml of alcohol is recommended
30ml intake / day
Modifiable Risk:
Alcohol is a __________
> 30ml/day leads to _________
Vasodilator
Vasoconstriction
Bad cholesterol
LDL
Is an indicator of morbidity and mortality
Increased BMI / BMI
Personality type of active people
Type A
is information provided by the patients or their family members or caregivers.
Subjective data
This is information patients give concerning how they feel, what symptoms they are experiencing, their fears, and concerns.
Subjective data
give insight into how susceptible a patient is to a health problem and the psychological as well as the physiological condition of the patient
Subjective data
They also confirm objective data
Subjective data
“Chief complaint”
Subjective data
Collecting Subjective Data :
Always begin with a good______
NPI
SUBJECTIVE DATA - “CHIEF COMPLAINT
How to collect subjective data properly?
Always begin with a good NPI
● Listen carefully
● Closely observe for patient no verbal behavior or
gestures
● “Describe the pain feels like”
● “Point the location of pain”
● “radiation of pain”
● Asses for dizziness
is an ISCHEMIA
ACUTE MYOCARDIAL INFARCTION
Death of the heart tissue due to blocked coronary artery
Myocardial Infarction
AMI is Lack of blood supply due to________ of coronary artery and its branches
Occlusion
● Most case are due to________ (90%)
● Other causes- spasm, embolism,trauma ( 5%)
ATHEROSCLEROSIS
