Angina V: Verpleegkundige Zorg

The nursing management of angina begins with a subjective assessment of the patient's reports of chest pain and pressure, which radiates to the left upper arm, and dyspnea.

Objective assessment may include tachycardia and elevated BP.

These findings help frame the following nursing diagnoses :

Acute Pain related to decreased tissue perfusion, as evidenced by patient-reported chest pain and diaphoresis.

Decreased Cardiac Output related to altered electrical conduction as evidenced by dysrhythmia, hypotension, and fatigue.

Goals include the prevention of chest pain and stable vital signs.

The nursing interventions include the following.

Positioning the patient to sit or rest in a semi-Fowler's position.

Providing oxygen when oxygen saturation is less than 90% or in case of dyspnea.

Administering medications as prescribed.

Monitoring vital signs and tracking serial ECG changes for signs of ischemia.

Lastly, evaluate the care plan to determine if the patient met the goals. Adjust the plan as needed based on the patient's progress.