Nursing Diagnosis and Nursing Intervention

Nursing Interventions for Ischemic Heart Disease - Acute Pain

Nursing Interventions for ischemic Heart Disease

Acute Pain related to an imbalance of oxygen supply to myocardial demands.

Outcome: The patient will express pain decreased

• Assess pain location, duration, radiation, occurrence, a new phenomenon.
• Review of previous activities that cause chest pain.
• Create a 12 lead ECG during anginal pain episodes.
• Assess signs of hypoxemia, give oxygen therapy if necessary.
• Give analgesics as directed.
• Maintain a rest for 24-30 hours during episodes of illness
• Check vital signs, during periods of illness.

2. Decreased cardiac output related to electrical factors (dysrhythmias), Decrease in myocardial contraction, structural abnormalities (papillary muscular dysfunction and ventricular septal rupture)

Outcome: The patient will demonstrate a stable cardiac condition or better.

• Maintain bed rest with head elevation of 30 degrees during the first 24-48 hours
• Assess and monitor vital signs and hemodynamic per 1-2 hours
• Monitor and record ECG continue to assess the rate, rhythm, and order to each change per 2 or 4 hours.
• Review and report signs of CO reduction.

3. Anxiety related to the needs of the body is Threatened.

Objectives: The patient will demonstrate reduced anxiety after nursing actions.
• Assess signs and verbal expressions of anxiety
• Take action to reduce anxiety by creating a calm environment
• Accompany patient during periods of high anxiety
• Provide an explanation of procedures and treatments
• Encourage patients to express feelings
• Refer to the spiritual adviser if necessary

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