1. Acute Pain related to myocardial ischemiaNursing interventions:
- Review the description and the factors that aggravate the pain.
- Observation of vital signs every 5 minutes on each attack of angina pectoris.
- Create a quiet environment, limit the visitor when necessary.
- Put the client on total bedrest during episodes of angina (the first 24-30 hours) with a semi-Fowler position.
- Give soft foods and let the client rest 1 hour after meals.
- Teach distraction and relaxation techniques.
- Medical collaboration in terms of drug delivery.
2. Activity intolerance related to decreased cardiac output.
Nursing interventions:
- Maintain bed rest in a comfortable position.
- Provide adequate rest periods, aids in the fulfillment of self-care activities in accordance with the indication.
- Record the color and quality of the pulse.
- Increase client activity on a regular basis.
- ECG Monitor with frequent, and record ECG if there are complaints of angina pectoris.
3. Anxiety related to fear of the threat of sudden death.
Nursing interventions:
- Explain all procedures act.
- Increase expression of feelings and fear.
- Encourage family and friends to consider the client as before.
- Tell the client that the medical program has been made to reduce / limit the attack to come and increase the stability of the heart.
- Collaboration.
4. Knowledge Deficit: (need to learn) about the disease, treatment needs related to the lack of information.
Nursing interventions:
- Emphasize the need to prevent angina attacks.
- Push to avoid the factors / situations as the originator of angina episodes.
- Assess the importance of weight control, smoking cessation, dietary changes and exercise.
- Show / encourage clients to monitor their own pulse rate during the activity, avoid stress.
- Discuss the steps taken in the event of an attack of angina.
- Encourage clients to follow a predetermined program.