Nursing process
mention one thing the nurse must monitor
Vital signs, O2 and ECG, signs of MI, pain
Mention one non Pharmacological treatment
Resting during chest pain
not smoking/ vaping
maintaining healthy diet
reduce emotional stress
Mention two risk factors
lack of physical activity, emotional stress, extreme cold and heat, high cholesterol, drinking alcohol, smoking, Coronary A D, high BP, diabetes
Mention two things you must assess
Pain, circulation, lack of O2, heart rhythm and rate, mental status, anxiety, level of understanding, past medical history, etc
What are the side effects of nitroglycerin
Headache and hypotension
Mention three ways to prevent
No use of tobacco, healthy diet, activity, sleep, healthy weight
Mention three pt teachings
Exercise, no smoking, diet, coping mechanisms and reduction of stress, medications
one pt teaching for nitroglycerin
Sit or lay down at the start of chest pain not smoking, SL: tablet cause tingling sensation if effective
What is angina pectoris explain why it happens
Narrowing of the coronary artery
heart oxygen demand exceed supply
Mention three labs commonly used
ABGs, CBC, BNP, troponin, cardiac enzymes, lipid profile, CRP, myoglobin
S/s of metropole and interventions
Fatigue and dizzines, take apical pulse before each dose, hold is HR below 60 bpm
Mention four symptoms
SOB, weakness, feeling faint, fatigue, pain radiating to upper back, both arms, Neal and earlobe, pressure crushing pain under breastbone in chest
Mention 4 different diagnostic tests
Coronary tomographic angiography, invasive coronary angiography, ETT, stress echography, ECG, stress cardiac MRI, nuclear perfusion scans, echocardiogram
What are the mechanics of action for both Metoprolol and Nitroglycerin
Acts as cardioselective and acts as vasodilator
Mention three complications
MI, HF and unstable angina