Acute coronary syndrome : Nursing management
Nursing management Nursing Assessment: Subjective Data Health history CAD/chest pain/angina/ MI Valve disease Heart failure/cardiomyopathy, Hypertension, diabetes, anemia, lung disease, hyperlipidemia Drugs Use of anti-platelets or anticoagulants Nitrates Angiotensin-converting enzyme inhibitors β-blockers Calcium channel blockers Antihypertensive drugs Lipid-lowering drugs Over-the-counter drugs (e.g., vitamin and herbal supplements) History of present illness Description of events related to […]
Acute coronary syndrome
Acute coronary syndrome Minimally invasive direct coronary artery bypass (MIDCAB) For patients with disease of left anterior descending or right coronary artery Does not involve a sternotomy and CPB Off-pump coronary artery bypass (OPCAB) Sternotomy but no CPB Robotic or totally endoscopic coronary artery bypass (TECAB) Transmyocardial laser revascularization Indirect revascularization High-energy laser creates channels […]
Interprofessional care : Acute Coronary Syndrome
Interprofessional care Acute Coronary Syndrome Initial interventions 12-lead ECG Upright position Oxygen – keep O2 sat > 93% IV access Nitroglycerin (SL) and ASA (chewable) Statin Morphine Ongoing monitoring Treat dysrhythmias Frequent vital sign monitoring Bed rest/limited activity for 12–24 hours UA or NSTEMI Dual antiplatelet therapy and heparin Cardiac catheterization with PCI once stable […]