Nursing Diagnosis And Interventions For Ischaemic Heart Disease 5n2448

Nursing Diagnosis and Interventions for Ischaemic Heart Disease

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Nursing Diagnosis : Decreased cardiac output related to electrical factors (dysrhythmias), Decrease in myocardial contraction, structural abnormalities (papillary muscular dysfunction and ventricular septal rupture)

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Outcome: The patient will demonstrate a stable cardiac condition or better. 

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Intervention: Maintain bed rest with head elevation of 30 degrees during the first 24-48 hours. Assess and monitor vital signs and hemodynamic per 1-2 hours. Monitor and record ECG continue to assess the rate, rhythm, and order to each change per 2 or 4 hours. Review and report signs of CO reduction.

Nursing Diagnosis : Anxiety related to the needs of the body is Threatened. Objectives: The patient will demonstrate reduced anxiety after nursing actions. Intervention:    

Nursing Diagnosis : Acute pain related to an imbalance of oxygen supply to myocardial demands. Outcome: The patient will express pain decreased Intervention: 

Assess pain location, radiation, occurrence, phenomenon.

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Review of previous activities that cause chest pain. Create a 12 lead ECG during anginal pain episodes. Assess signs of hypoxemia, give oxygen therapy if necessary. Give analgesics as directed. Maintain a rest for 24-30 hours during episodes of illness Check vital signs, during periods of illness.

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Assess signs and verbal expressions of anxiety Take action to reduce anxiety by creating a calm environment Accompany patient during periods of high anxiety Provide an explanation of procedures and treatments Encourage patients to express feelings Refer to the spiritual adviser if necessary