Coronary Artery Disease
Nursing Care Plans
Acute Pain
Coronary
artery disease (CAD) is caused by a narrowing of the arteries that supply
the heart muscle with blood. When the arteries narrow, blood flow is
reduced. The reduced blood flow causes the heart muscle to receive less
oxygen than it needs to function properly. When ischemia occurs patients
typically develop angina or chest pain originating from the heart. It has
been described as chest pain or discomfort that has a squeezing or
pressure-like quality, usually felt behind the breastbone (sternum), but
sometimes felt in the shoulders, arms, neck, jaws, or back.
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Objective data:
The pt. May manifest:
ü restlessness
ü pain scale of 9/10
ü chest pain
ü irritability
ü (+) guarded behavior
ü (+) facial grimaces
ü crying
ü v/s change
ü diaphoresis
ü sleep disturbance
ü increase RR and pulse
