(cardio) Angina Pectoris

Question 0

Manefestations of angina pectoris.

Answer 0

Diaphoresis
Dizziness and syncope

Chest pain- common sign

• squeezing ( retrosternal )
• radiates from chest to jaw and left arm

Question 1

Difference of stable to unstable angina pectoris; occurence, severity, relieve by drug and rest.

Answer 1

Stable
O: during exertion
S: unhcanging
R: yes

Unstable
O: unpredictable
S: increase with time
R: no

Question 2

4 E’s predisposing factors of nagina pectoris

Answer 2

Excercise
Eating heavy meals
Emotions
Extremes of temperature

Question 3

Nursing interventions in angina pectoris

Answer 3

ECG
CBR
O2 (3L/min)
High fiber diet ( no constipation and no balsalva maneuver)

Question 4

DOC in angina pectoris.

Answer 4

1. NTG
   - sublingual
   - keep 3 tablets ( 5 min interval)
   - dont smoke after
   -s/e : headache
   - must be stored in brown bottle container
   - monitor heart rate
   (If patch, rotate the site, and in non hairy part)
2. ASS-antiplatelet aggregate
   - aboid green leafy vegetables
   - monitor pulse rate
   - lab: plateletes
   - use soft bristle toothbrush and electric razor
3. Beta- blockers - to increase BP and HR

Question 5

Laboratory interventions for angina pectoris.

Answer 5

ECG- ST depression
Cardiac catheterization ( note for the presence of atheroma)

Question 6

Medical interventions for angina pectoris.

Answer 6

A. Coronary arteriogram
Note:
Allergy to dye
Artery ( femoral) commonly used
Assess for bleeding after
Advise: leg extension ( if with bag- 8-12hrs)

B. PTCA ( pervutaneous transluminal coronary angioplasty)
- balloon tip catheter

C. Coronary bypass graft
-saphenous vein - commonly used