CORONARY ARTERY

DISEASE
C/O Chest pain
Posture
Tachycardia
Bradycardia
Hypertension/hypotension
Dyspnea
SOB
Nausea
Vomiting
Apprehension
Altered level of consciousness
Syncope
Assess level and location of pain
Administer prescribed analgesia
Administer oxygen
Administer prescribed antianginals
Elevate head of bed
Complete bed rest
Alleviate anxiety/heightened emotional
states
Monitor cardiac status
Monitor vital signs
Assess for associated symptoms
Maintain quiet environment
Restrict visitors
Provide light meals/rest after meals
Monitor vital signs
Monitor mental status
Monitor breath sounds
Maintain bed rest/adequate rest
periods
Assist with activities of daily living
Monitor effects/adverse effects of
medications
Administer oxygen prn
Administer medications prn
Assess for signs of bleeding
Monitor vital signs
Monitor urine
Reduce frequency of venepuncture
Use small gauge needle for im
injections
Apply pressure to puncture sites
Lift patient when transfering
Remove sharp objects from bed
Encourage the use of soft
toothbrush
Ensure full information
Explain procedures
Allow expression of feelings
Alleviate chest pains/s & s of disease
Allow family/SO to visit and treat patient
as before
Administer sedatives
Assess activity tolerance level
Bed rest for first 12 hours
Increase activity gradually
Assist with ADL’s
Monitor v/s before, during and after
activities
Ensure adequate rest
Administer oxygen prn
Teach about sexual activity
Teach etiology and pathophysiology of
disease
Teach precipitating factors of angina
Help in identifying physical and emotional
stressors
Review the importance of lifestyle changes
Encourage to follow treatment regimen
Discuss impact of illness on lifestyle
Teach/encourage monitor pulse during
activities
Discuss steps to talk when attack
occurs
Teach about prescribed medications
Review symptoms to report to
physician