Coronary Artery Disease

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Coronary Artery Disease: Made Easy: 

Coronary Artery Disease: Made Easy Jurmaida H. Pagayao , BSN, RN

Overview of CAD: 

Overview of CAD

Definition: 

Definition Narrowing and hardening of the lumen resulting in: Decreased coronary blood flow Decreased delivery of oxygen and nutrients to the myocardium

Incidence : 

Incidence Most common type of heart disease The leading cause of death for both men and women in the US

Onset: 

Onset Can start in childhood and progress with age

Etiology: 

Etiology Build up of fatty fibrous plaque or calcium plaque deposits in the inner walls of the coronary arteries causes athrosclerosis

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Atherosclerosis Thickening and hardening of the inner walls of coronary arteries

Clinical Findings: 

Clinical Findings The most common symptom is ANGINA Some individuals remain asymptomatic

Nursing focus: 

Nursing focus

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Monitor vital signs Document response to prescribed therapies Monitor and maintain cardiopulmonary function Enhance myocardial infusion by implementing prescribed therapies

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Document nursing and medical interventions and their outcomes

Patient teaching: 

Patient teaching

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Provide patient and family with literature about CAD Explain lifestyle modifications necessary to control CAD Review dietary restrictions Stress importance of reading food labels

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Avoid foods high in: Sodium Saturated fats Trans fats Cholesterol Explain the actions, dosages, side effects, adverse reactions of prescribed meds

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Provide information about the resumption of sexual activity acceptable for the patient’s medical condition If surgery is to be performed, provide teaching to prepare the patient and family for the: Procedure, ICU, postoperative care, cardiac rehabilitation

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Thank You !