angina

1. MANAGEMENT
A for aspirin and anti anginaltherapy
B for beta-blocker therapy and blood
pressure control
C for cigarettes and
cholesterol
D for diet and diabetes
E for education & exercise

2. PHARMACOLOGICAL
MANAGEMENT
Opoidanalgesics
Antiplateletagents
Beta-adrenergic blocking agents
Vasodilators
Calcium channel blockers

3. Cardiac catheterization
Revascularization
Nutritional management
Rehabilitation

4. REHABILITATION PROCESS
Smoking cessation
Lipid lowering
Control of hypertension

5. Diabetes mellitus
management
Weight management
and nutritional
counseling

6. Psychosocial management
Activity management

7. NURSING MANAGEMENT

8. Nursing Diagnosis
Anxiety related to diagnosis of cardiac
disorder as evidenced by restlessness,
tachycardia, and frequently asking
questions regarding prognosis.
Acute chest pain related to decreased
blood supply to myocardium as evidenced
by distraction behaviors such as
restlessness, discomfort and fatigue.

9. Ineffective tissue perfusion related to
decreased oxygenation of myocardium as
evidenced by chest pain, shortness of
breath and tachycardia.
Decreased cardiac output related to
negative ionotropicchanges in the heart
secondary to decreased oxygenation of
myocardium as evidenced by chest pain,
tachycardia and fatigue.

10. Impaired gas exchange related to
decrease cardiac output as evidenced by
dyspnea, pallor and fatigue.
Risk for bleeding related to
coagulopathiesassociated with
thrombolytic therapy or arterial
puncture after angiography.