CARE PLAN OF PATIENT WITH AN

: UNSTABLE ANGINA

NURSING DIAGNOSIS: ineffective myocardial tissue

perfusion secondary to coronary artery disease (CAD) as
. evidenced by chest pain or equivalent symptoms

.Goal: relief of chest pain /discomfort

Nursing :Rationale :Expected outcome

: interventions
the nurse must -1 this data -1 the chest -1
assess ,document, determine the cause discomfort
: and report and the affect of beginning relief at
.chest pain . once
The patient -1 the BP ,the -2
description of chest there are many -1 cardiac output , and
pain including conditions the heart rate will
location, duration associated with return to normal
,intensity ,and other chest pain that the respiratory -3
symptoms like deepened on the rate will be
nausea, diaphoresis location ..normal
.,or fatigue ,duration ,and
The effect of -2 intensity of the
chest discomfort .pain
on cardiovascular
perfusion (to the angina affect the -2
heart - CHANGE contractility and
IN BP- , to the may produce
brain , to the kidney dysrythmias
.and to the skin cardiac output .
decrease resulting
in reduced BP and
the heart rate will
increase to
 maintain cardiac
.output

obtian a 12 lead -2 obtian a 12 lead -2

ECG recording ECG recording
during the during the
.symptomatic event symptomatic event
administer -3 Oxygen therapy will
oxygen therapy as increase the oxygen
.prescribe . supply to the heart
adminester -4 Medication therapy
medication therapy is the first line of
as prescribed and defense in
evaluate the patient preserving
response myocardial tissue
.continuously .the side effect may
be hazards and the
patient state must
.be assessed

. Nursing diagnosis: anxiety related to fear of death

. Goal : reduction of anxiety

Nursing intervention Rationale Expected outcome

Assess the patient -1 This data -1 the patient will -1
and his /her family provide accept the
.anxiety information about diagnosis
the psychological the patient will -2
well being .its accept the
important to assess treatment and will
the family anxiety take his /her
because they may .medicines
transmit their
anxiety to the
.patient
let the patient s -2 If the patient find
family visit the support from his
patient to support /her family ,this
.him/her will reduce his
anxiety
allow patient to -2 Unresolved anxiety
express anxiety and and stress increase
fear by: * Showing the myocardial
interest when oxygen
.talking with him/her . consumption
Answering the *
.patient s questions

Nursing diagnosis: deficient knowledge about the

. underlying disease and methods for avoiding complications

Goal: adheres to the home health care program chooses

lifestyle
.Consistent with heart healthy recommendations

Nursing Rationale Expected outcomes

:interventions
The nurse must told ALL the previous The patient s will be
the patient that activities help in stable with no
he/she must change preventing many .complications
his/her lifestyle this complications may
:can be :occur such as The patient will be
a-Avoiding activity Acute pulmonary * able to take the
that that produce .edema process of angina
chest congestive heart * and will avoid all
pain,dyspnea ,or . failure /complications
. fatigue cardiogenic *
b- losing weight if .shock
.indicated dysarythmias or *
c-perusing .cardiac arrest
activities that myocardial *
. decrease stress .infarction
d- avoid big myocardial *
meals ,smoking, .rupture
and food that pericardial *
increase BP and effusion and
glucose .cardiac temponade
(MAINTAIN BP
AND GLUCOSE
.(NORMAL