University:
Michigan State University
Course:
MED 611 | Cardiology Clerkship
Academic year:

2022
Views:

337

Pages:

1
Author:

gartelpabv

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Coronary Artery Disorder DISORDER/DISEASE PROCESS __________________________________________________________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Accumulation of plaque witihin the layers of the coronary arteries Plaque leads to reduced coronary blood flow REVIEW MODULE CHAPTER ___________ Health Promotion and Disease Prevention If the patient smokes, stress cessation. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Atherosclerosis: The hardening of plaque in the artery. NonMod: Age, sex, race, history. Modifiable: Diet, HTN, weight Laboratory Tests Chronic stable angina: Substernal chest pain, pressure, heaviness. Unstable angina: Pain occuring at rest; no increase in O2 demand Diagnostic Procedures Creatinine kinase, troponin, HbA1C and fasting lipid panel, coagulation studies, CRP, hemoglobin Chest pain and clinical history. Blood tests, 12 lead ECG, ECG stress test, radionuclide, cardiac catheterization, nitroglycerin test PATIENT-CENTERED CARE Nursing Care Thoroughly assess anginal attack. Gather information about cardiac risk factors Therapeutic Procedures Place patient in Fowlers position and administer oxygen.Obtain BP, apical pulse, and respiratory rate. ACTIVE LEARNING TEMPLATES Thoroughly evaluate any complaint of chest pain. Notify HCP and obtain ECG for complaints of chest pain. Be alert to common alternative presentations of CAD and MI: Women, diabetics, elderly. Complications Medications Nitrates, beta blockers, calcium channel blockers, ACE inhibitors, antilipid agent, antiplatelet agents, folic acid and B comlex vitamins Client Education Teach the structure and function of the heart.Explain the disease process thoroughly Angina, arrhythmias, heart failure, MI, sudden death, related arterial disease Interprofessional Care Nutritionist consult, physical therapy consult, cardiology consult,endocrineology consult THERAPEUTIC PROCEDURE A11