Assess the patient’s vital signs and characteristics of pain at least 30 minutes after administration of medication. It has been 5 minutes since his last Sublingual Nitroglycerin and BP 176/98 and HR 100 so you give the pt another sublingual nitroglycerin. Pt is given Nitroglycerin 0.4mg Sublingual x 1 Tab, 2 mg of Morphine, and placed on 2 L nasal cannula. The nurse is responsible for the documentation of the exact place of pain, the nurse has to monitor whether the patient had a sudden attack of pain or it is gradual.
Administer prescribed medications that alleviate the symptoms of angina. These include smoking, diabetes or poor diabetic management, high blood pressure, high cholesterol (LDL) levels, old age (Men: 45 years old and above, Women: 55 years old and above), sedentary lifestyle, lack of exercise, stress, obesity, and family history of heart disease. Nursing Care Plans. Crohn’s Disease NCLEX Review Care Plans Nursing Study Guide on Crohn’s Disease Crohn’s disease is …, Your email address will not be published. In such cases the nurse has to look for the symptoms of pain like pale skin and cold body. Cardiology is consulted and pt is kept NPO pending heart cath if order by cardiology. Ask for any form of exercise that he/she used to do or wants to try. Ask the patient to repeat or demonstrate the self-administration details to you. Nursestudy.net © Copyright 2020, All Rights Reserved, Nursing Interventions for Chest Pain Angina. Nitrates – to relax the blood vessels in order to increase the blood flow to the heart. The mood of the patient is much pleasant than what it is when the intensity of pain is increased. Since the blocked coronary arteries cannot supply this additional demand, stable angina happens.
Variant or prinzmetal angina is rare and is particularly caused by the sudden spasm of a narrowed coronary artery. 1 Assessment should be done to the patient for detection of reasons of uneasiness and assess pain scale every 2 hourly.2 Provide air conditioning and Cool, calm and noise free environment and atmosphere.3 Provide good counseling and calmness and psychological support to the patient.4 Provide cold application to the joint area and then apply antiinflammatory ointment dressing.5 Provide Anti inflammatory and analgesic medication as prescribed by physician.6 Provide Allopurinol Medicine as prescribed by patients to lower uric acid crystallization.And colichine 0.5 mg BD as prescribed by MD doctor to lower gout pain and swelling.7 Provide Psychological cognitive therapy guided imagery therapy should be given.8 Relaxation therapy should be given.9 Deep breathing exercises should be followed.10 Diversional activities should be implemented to distract his mind from pain and lower the pain level. Verbal expression of feelings and fears can help avoid internal emotional turmoil and negative-self talk. Long Term Objective: patients will be freely movable his restriction body parts. Long term objective: patients gout attack should be prevented and help to minimize uric acid levels. How do you develop a nursing care plan? n8fan.netwww.n8fan.net, http://nanda-nursinginterventions.blogspot.com. 1 Assessment should be done by Braden Scale of the patient and pain scale and vital signs2 Monitor Intake and output chart of the patient and make patient comfortable by providing comfortable position and calm, cold, ventilated atmosphere lower hyperthermia.3 provide tepid sponging and acetaminophen by prescription of doctor.4 Provide mucous shoothing jelly or ointment to the lips and skin.5 Provide plenty of oral fluids to the patient and plan a liquid diet & give to the patient.6 Provide oil massage or aromatherapy to the patient to relieve body pain.7 Provide IV fluids if indicated by prescription.8 Provide a bed bath to the patient if patient unable to ambulation.
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