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id/2013/06/nursing-care-of-coronary-heart-
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Coronary heart disease is mainly caused by the process of atherosclerosis which is a degenerative
disorder. Coronary heart disease is the imbalance between myocardial oxygen supply needs.
The trigger factor that adds to ischemia such as, physical activity, stress, etc.. Angina pectoris is
the main symptom specific and typical for coronary heart disease. Shortness of breath began to
feel short of breath while doing activities that are sufficiently severe, increasing shortness of
breath. At a more advanced state of heart failure can occur.
1. Nursing Diagnosis : Acute Pain related to heart tissue ischemia, or blockages in the coronary
arteries.
Objective: The client is expected to be able to demonstrate a decrease in chest pain, showed a
decrease in pressure and how relaxation.
Interventions:
2. Nursing Diagnosis: Activity Intolerance related to imbalance between oxygen supply and
demand, and the presence of necrotic tissue in myocardial ischemia.
Objective: The client shows an increase in the ability to perform activities (blood pressure, pulse,
rhythm within normal limits) the absence of angina.
Interventions:
Record the heart rhythm, blood pressure and pulse before, during and after the activity.
Instruct the patient to have more rest first.
Instruct the patient not to "push" at the time of defecation.
Explain to the patient about the stages of activity that may be performed by the patient.
Show to patients about physical signs that activity exceeds the limit.
3. Nursing Diagnosis : Risk for Decreased Cardiac Output related to changes in the rate,
rhythm, cardiac conduction, decrease preload or increased SVR, miocardial infarction.
Interventions:
Perform blood pressure measurements (compare the two arms in a standing position,
sitting and lying down, if possible).
Assess the quality of the pulse.
Note the development of the S3 and S4.
Auscultation of breath sounds.
Stay with the patient at the time of the activity.
Serve food that is easy to digest and reduce the consumption of kafeine.
Collaboration in: serial ECG examination, chest radiographs, administering medications
anti dysrhythmias.
4. Nursing Diagnosis : Risk for Impaired Tissue Perfusion related to decreased blood
pressure, hypovolemia.
Interventions:
5. Nursing Diagnosis : Risk for Excess Fluid Volume related to decreased organ perfusion
(renal), increased sodium retention, decreased plasma protein.
Objective: There is an excess of fluid in the body of the client during the treatment.
Interventions:
Definisi CVD
Cvd