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Angina Pectoris
Definition :
Angina pectoris is a clinical syndrome
usually characterized by episodes of pain
or pressure in the anterior chest . The
cause is usually insufficient coronary
blood flow which results in a decreased
oxygen supply to meet an increased
myocardial demand for oxygen in
response to physical exertion or
emotional stress.
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Pathophysiology
3. Shortness of breath
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Clinical manifestations
4. Pallor, Diaphoresis
5. Dizziness or
lightheadedness
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Diagnostic findings
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Medical management for
the pt with angina pectoris
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• The objective is to decrease
oxygen demand of myocardium
and to increase oxygen supply
• 1.Nitroglycerin : administered to
reduce myocardial oxygen
consumption
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2.Beta-adrenergic blocking agents :
( propranolol ,metoprolol , atenolol)
appear to reduce myocardial oxygen
consumption, result in a reduction in
heart rate, decreased BP , and
reduced myocardial contractility .
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3-Calcium channel blocking
agents : some decrease
sinoatrial node automaticity and
node conduction ,resulting in
slower heart rate
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4- Antiplatelet and
anticoagulent
medications
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Prevention
Stop smoking
Increase level of exercise
Cut down on fatty foods
Eat more oats, which decrease
cholesterol
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Lose wt if u DR. thinks you are
overweight.
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Nsg process for pt with
Angina pectoris
Assessment
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Diagnosis
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Diagnosis
3. Noncompliance , ineffective
management of therapeutic
regimen related to failure to
accept necessary lifestyle changes
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Planning and goals
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NSG interventions
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Evaluation
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3. Understands ways to avoid
complications and demonstrates
freedom from complications
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