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NURSING CARE PLAN Angina pectoris

ASSESSMENT
SUBJECTIVE:
The patient may report:

Chest pain, heaviness,

or pressure that may
radiate to the
shoulders, arms, neck,
jaw, or upper
abdomen.

DIAGNOSIS

PLANNING

Acute pain related After 8 hours of nursing

to decreased
intervention the patient will:
myocardial blood
flow.
Remain free from pain
Maintain stable vital signs.
Maintain relaxed body
posture.

INTERVENTION

OBJECTIVE:

Tachycardia
Elevated blood
pressure
Jugular vein distention
Cool, clammy skin

Assess for vital signs and

symptoms of pain such as
facial grimacing, rubbing of
neck or jaw, reluctance to
move, increased blood
pressure, and tachycardia.
Note onset, duration,
location, and pattern of
pain.
Use a pain rating scale to
assess the patients
perception of the pains
severity.
Administer sublingual
nitroglycerin as ordered.
Instruct the patient to notify
a nurse immediately when
experiencing pain. Have the
patient stop current activity,
and place him on bed rest in
a semi- to high Fowlers
position.

EVALUATION
After 8 hours of nursing
intervention the patient was free
from pain, maintains stable vital
signs, and relaxed body posture.

Administer oxygen as
ordered.
Obtain a 12-lead ECG
immediately during acute
chest pain.
Stay with the patient during
chest pain episodes.