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Clinical Concept Map Patient Name:shahida

Student UZMA AKHTAR Gender: female Age:35 yrs.


Assigned Ward; Ccu Ward Medical Diagnosis; Angina pectoris

Complications
Atrioventricular block.
Herat attack.
Lab
History; Sever arrhythmias.
Investigation
According to the patient. Sudden cardiac death
ECG or EKG. She complains chest pain Episodes of disabling pain.
Chest X RAY and short of breath . She
also complains nausea and
Blood test
vomiting .Now she admit
Coronary HMC for better treatment.
angiography.
Cardiac
computerized
tomography CT
scan.

Pathophysiolog
y
Coronary artery
disease refers to the
development and
progression of
Angina pectoris plaque accumulation
in the coronary
arteries. This process
It is a pain in the chest. Myocardial ischemia is
has three stage along
expressed symptom atically as angina . More
specifically angina pectoris is transient chest the continuum viz,
pain caused by myocardial ischemia . stable angina.
Unstable angina and
Causes:
myocardial
Physical exertion. infarction.
Strong emotion
Cigarette smoking
Consumption of
heavy meal
Sign and
Symptoms:

vo Intervention:
Chest pain
Administer oxygen to
ischemia at a flow
Dysrhythmias rate based on
institutional policy
and the patient
Short of breath condition
Nursing Diagnosis
.
Nausea
Assess and
Pain r/t to an imbalance in document continuous
02 supply and demand. ECG rhythm, vital
Decreased cardiac output signs, mental status,
Fatigue
related to reduced preload, heart and lung
overload ,contractility and sounds
HR secondary to the Dizziness .
hemodynamic effect of
Assess vital signs
drugs.
Profuse sweating with complaints of
Anxiety related to chest chest pain and
pain, uncertain prognosis compare to baseline
and threatening Anxiety
environment.. .

Activity intolerance Administer iv


related to decrease cardiac morphine in small
output. doses to relieve pain
and decrease
Deficient knowledge about preload.
event need for treatment
related to the lack of
information.. Teach relaxation
techniquse

. Obtain
bloodpressure,AHR
respiration.
.
NCP
ASSESSMENT Diagno Plannin Interven Ratio Evaluati
SUBJECTIVE se g tion nal on
DATA, . Decreased
cardiac Short term . Administer To Subjective
According to the output oxygen to
goals. maintain data:
patient, she has related to ischemia at a
complaint chest pain reduced At the end flow rate short of At the end of
and short of breath. preload, of my todays based on breath my todays
overload, institutional
She also complaint contractility
clinical the policy and
To clinical when I
nausea and vomiting and HR patient chest the patient maintain asked from
for 5 days. Now she secondary pain and condition the pt. about her
has been admitted in to the
short of . patient pain the pt.
hemodynam
HMC for the better ic effect of Assess and
breath will condition. verbalized
treatment. drugs. document
be relieved continuous
To that she feels
from 10 on ECG rhythm, promote better than
Objective pain scale of vital signs, patient before.
mental
Data A 35 year old 0 -10. condition. Objective
status, heart
female pt. lying on the and lung To reduce Data.
bed in supine Long term sounds pain. At the end of
position .IV maintain goals. . To reduce my todays
in her left hand Assess vital anxiety. clinical I
The patient signs with
.Looking very pale and will have no complaints
observed that
weak. Her vital signs pain after of chest pain the patient
are taking and compare has no
complete to baseline complaint of
BP=120/80mmhg
treatment. . chest pain
P/R=85/min and short of
Administer iv
R/R=23b/mint morphine in breath.
small doses
Temp 98F
to relieve
pain and
decrease
preload.
Teach
relaxation
techniques
Obtain
bloodpressur
e,AHR
respiration.
Functional Health Pattern
1. Health Perception – Health Management Pattern

When I asked the patient about medication she said that she takes madician on proper time.

2. Nutritional – Metabolic Pattern

She not takes balance diet.

3. Elimination pattern
She said her elimination pattern is not well.

4. Activity – Exercise Pattern


She said due chest pain and short of breath they can’t good activity and exercise.

5. Cognitive – Perceptual Pattern


She said she is not active and oriented. Her thinking ability is not good.

6. Sleep – Rest Pattern


She said she is not sleep due short of breath.

7. Self-perception – Self-concept Pattern


Dis appointed from his self-concept and self-perception.

8. Role – Relationship Pattern.


Actively play her role and performance.

9. Sexuality – Reproductive Pat


She has 2 children and satisfied her husband.

10. Coping – Stress Tolerance Pattern


She said she cope all the problems and she has many coping strategies.

11. Value – Belief Pattern


She believed hospital treatment but more spiritually because she is religious.
ASSIGNMENT
CCN
TO
SIR IMRAN
Ward ICU
Topic: ANGINA PECTORUS
Uzma Akhtar
Roll no 02
7th semester 4th year