Nursing Intervention For Chest Pain With Rationale
Cad is the most common type of heart disease.
Nursing intervention for chest pain with rationale. It is one of the definitive symptoms of coronary heart disease and can also be a symptom for other cardiac issues. Assess location characteristics onset duration frequency quality and severity of pain. Chest pain angina nursing diagnosis care plan pathology and nclex review angina chest pain is a medical condition which involves chest pain due to the decrease in the blood supply to the heart.
Chest pain at rest with ecg changes due to coronary artery spasm. Longer lasting more severe may not be relieved by rest or nitroglycerin. Instruct patient to notify nurse immediately when chest pain occurs.
Assess for signs and symptoms of an ineffective breathing pattern e g shallow respirations tachypnea limited chest excursion dyspnea use of accessory muscles when breathing. Chest pain myocardial infarction mi heart attack and acute pain. Regardless of whether your patient is 25 or 85 years old when they report chest pain you should always treat it seriously.
Early recognition of signs and symptoms of an ineffective breathing pattern allows for prompt intervention. Helps for you to remember to check oxygenation for chest pain if under 94 or if patient is short of breath give 2l nc initially administer oxygen only when clinically relevant. Pain and decreased cardiac output may stimulate thesympathetic nervous system to release excessive amountsof norepinephrine which increases platelet aggregationand release of thromboxane a2.
Observe for nonverbal indicators of pain. Nursing intervention for chest pain angina pectoris pain management nic independent 1. Given only if aspirin and nitroglycerin do not relieve chest pain initial dose is 2 4 mg iv.
Assessment is the first step in managing pain. However chest pain can potentially point to a more serious and life threatening cause such as an acute myocardial infarction ami. Moaning guarding crying.
Maybe the cause of the chest pain is nothing more than indigestion a muscle strain or some other innocuous problem. Nursing care plan for. May also be new onset of pain with exertion or recent acceleration in severity of pain.
Next 10 mins patient already stabilized initial data gathered and initial orders carried out secondary survey. More detailed history and physical exam address patient s pain goal now is to categorize patient 1 chest wall pain musculoskeletal 2 pleuritic chest pain respiratory 3 visceral chest pain cardiac 6. Perform a comprehensive assessment.
Initial treatment for acute coronary syndrome. The most important part of the care plan is the content as that is the foundation on which you will base your care.
