Class project. the videos might not work

1. Prof. Lozada
DAPHANE I. TORRES
MARIELLA BOBONIS QUILES
JAIME
ADALBERTO TOLEDO
ALEXIS VELEZ TORRES
HAROLD GOMEZ RIVERA

2. CORONARY ARTERY
DISEASE
ANGIOGRAPHY
(PROCEDURE)

3. 


Coronary heart disease (CHD) is a
disease in which a waxy substance
called plaque builds up inside the
coronary arteries. These arteries
supply oxygen-rich blood to your
heart muscle.
When plaque builds up in the
arteries, the condition is called
atherosclerosis. The buildup of
plaque occurs over many years.
CHD is the most common type of
heart disease. In the United States,
CHD is the #1 cause of death for
both men and women. Lifestyle
changes, medicines, and medical
procedures can help prevent or
treat CHD. These treatments may
reduce the risk of related health
problems.

5. Angiography or arteriography is a medical imaging
technique used to visualize the inside, or lumen, of
blood vessels and organs of the body, with particular
interest in the arteries, veins and the heart chambers.
This is traditionally done by injecting a radio-opaque
contrast agent into the blood vessel and imaging using
X-ray based techniques such as fluoroscopy.

7. When a patient comes in the hospital with CAD they
will commonly display the following problems.





Decreased Cardiac Output
Ineffective Tissue Perfusion
Acute Pain
Activity Intolerance
Fatigue
As future nursing professionals we will need to make
a Nursing care plan for each health problem. For now
we are going to choose one.

8. Depending of the severity of the CAD acute pain is the most common symptom that
is seen in the hospital.
Acute Pain


Coronary artery disease (CAD) is caused
by a narrowing of the arteries that supply
the heart muscle with blood. When the
arteries narrow, blood flow is reduced.
The reduced blood flow causes the heart
muscle to receive less oxygen than it
needs to function properly.
When ischemia occurs patients typically
develop angina or chest pain originating
from the heart. It has been described as
chest pain or discomfort that has a
squeezing or pressure-like quality,
usually felt behind the breastbone
(sternum), but sometimes felt in the
shoulders, arms, neck, jaws, or back.

9. Assessment
Objectives
May manifest:
restlessness
Short Term: After 3 hours 1.
of nursing informative,
the pt. Will verbalize
2.
understanding of pt’s
condition and health
3.
teachings given to
provide comfort and
relieve of pain.
4.
pain scale of 9/10
chest pain
irritability
(+) guarded behavior
(+) facial grimaces
crying
v/s change
diaphoresis
sleep disturbance
increase rr and pulse
Long term
After 2 days of nursing
informative, the pt. Will
demonstrate behavior of
being relieved from pain
and will be free from the
complications of the
condition.
Nursing
interventions
5.
6.
7.
Assess pt.’s
condition.
Rationale
1.
Monitor and record 2.
v/s.
Assess pains
location and
intensity/severity
Provide comfort
measures like
stretching of linens
and assisting in
position.
To have baseline
data and this are
usually altered in
the condition.
3.
To have baseline
data for planning
and interventions.
4.
To provide nonpharmacological
Pain management.
Provide diversion
5.
activities like
having conversation 6.
w/ the pt.
7.
Stress to pt the
importance of
providing adequate
rest period to the pt.
Administer meds as
ordered.
To have baseline
data.
To divert pt.’s
attention.
To prevent fatigue.
To reduce pain.
Expected outcome
The pt.’s so will verbalize
understanding of pt’s
condition and health
teachings given to
provide comfort and
relieve of pain and pt.
Will demonstrate
behavior of being
relieved from pain and
will be free from the
complications of the
condition.

12. 1.
2.
3.
4.
5.
6.
7.
8.
We will post a question on the screen.
Anyone who knows the answer will raise their hand.
The professor will select the student at her own discretion.
The student will have 30 seconds to answer only ONCE!
If the student answers wrong the professor will keep selecting
students until question is answered.
Once question is answered the student will receive a prize and
the next question will proceed.
The student can ask for help from fellow classmates.
The professor can ONLY give hints that will help STEER the
student in the right direction.
LET”S BEGIN!

13. Coronary heart disease (CHD) is a disease in
which a waxy substance called
builds up
inside the coronary arteries.
a)
b)
c)
d)
Plaque
Arteries
Plates
Blood

14. What is an example of a non-modifiable risk
factor for CAD?
Smoking
b) High blood pressure
c) Age
d) Obesity
a)

15. What is done to the patient before he or she goes
through an Angiography procedure?
I.V. line will be started
b) The patient will be placed on a heart monitor
c) The patient will be given an oral or I.V. sedative
d) All of the above
a)

16. What is angina?
a)
b)
c)
d)
Narrowing of the arteries
Reduced blood flow
Chest pain
High blood pressure

17. In the Nursing interventions of the Nursing care
plan for “Acute pain”; what was the rational for
“Assess pain’s location and intensity/severity”?
To have baseline data and this are usually altered in
the condition.
b) To have baseline data for planning and
interventions.
c) To have baseline data.
d) To provide non-pharmacological Pain management.
a)

18. Depending of the severity of the CAD
is
the most common symptom that is seen in the
hospital.
a)
b)
c)
d)
Acute pain
Fatigue
Emesis
Activity tolerance