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Caring for An Angina Patient

explanatory Essay
1703 words
1703 words
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Nurses play a very important role in managing a patient from the moment of his admission up to making a discharge plan. Each part of the nursing process is vital to the wellbeing of the person he is taking care of. Clinical reasoning is always essential in each part of the nursing process from assessment, setting up goals and intervention. Effective nursing management is done when a nurse looks for the early and right cues at the right patient and implementing it at the right time. This essay will delve deeper into the case of Rob Geis, a patient who was suffering from angina, given his history and the signs and symptoms he experienced up to the time when his condition worsened to Myocardial Infarction. This essay will also look into how the nurse should provide effective nursing care to the patient with this condition.

Etiology and Pathophysiology of Angina

Angina is pain felt in the chest area as a result of lack of inadequate supply to the myocardium (Better Health Channel, 2013) Atherosclerosis or the hardening and narrowing of arteries caused by the build-up of plaques, the insufficient supply of oxygen and its increasing demand are some of the factors that can cause ischemia in the myocardium (Lewis et al., 2012). When there is a total blockage of the coronary arteries for a few minutes, the myocardium cannot receive oxygen and glucose for aerobic metabolism thus anaerobic metabolism occurs (Lewis et al., 2012). The lactic acid builds up and stimulates the nerve fibres in the myocardium resulting to chest pain (Lewis et al., 2012). The cells are repaired and the aerobic metabolism and the contractility of the arteries are restored when there is return of blood flow (Lewis et al., 2012)

Subjective and Objectiv...

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....). New South Wales: Elsevier Australia.

MedlinePlus. (2010). Atenolol. Retrieved April 4, 2014, from http://www.nlm.nih.gov/medlineplus/druginfo/meds/a684031.html

Rull, G. (2011). Cardiogenic Shock. Retrieved April, 2014, from http://www.patient.co.uk/doctor/Cardiogenic-Shock.htm

Smeltzer, S., Bare, B., Farrell, M., & Dempsey, J. (2011). Smeltzer & Bare's Textbook of Medical-Surgical Nursing (2nd Australian and New Zealand edition ed. Vol. 1): Lippincott Williams & Wilkins Pty Ltd.

WebMD. (2012). Electrocardiogram. Retrieved April 1, 2014, from http://www.webmd.com/heart-disease/electrocardiogram

Williams, B. R., Lewis, D. R., Burgio, K. L., & Goode, P. S. (2012). Next-of-Kin's Perceptions of How Hospital Nursing Staff Support Family Presence Before, During, and After the Death of a Loved One. Journal of Hospice and Palliative Nursing, 14(8), 541-550.

In this essay, the author

  • Explains that nurses play a very important role in managing patients from admission to discharge. clinical reasoning is always essential in each part of the nursing process from assessment, setting up goals and intervention.
  • Explains the etiology and pathophysiology of anginaangina, which is pain felt in the chest area due to lack of adequate supply to the myocardium.
  • Explains the importance of subjective and objective data in assessing mr. geis.
  • Recommends the nurse do a baseline observation checking the blood pressure, pulse rate, oxygen saturation, respiration, 12-lead ecg and mr. geis' glasgow coma scale.
  • Explains the importance of oxygen therapy for mr. geis' pulmonary edema, as it reduces the risk of damage to the heart muscle.
  • Opines that non-pharmacologic interventions are also important. attaching mr. geis to a cardiac monitor is vital.
  • Explains that when mr. geis had a cardiac arrest, cardiogenic shock might occur especially when there is lack of oxygen going to the myocardial tissues.
  • Explains that the nurse can initiate care for the patient's family by providing them privacy and compassionate care.
  • Opines that they would like the doctor to assess mr. geis further since his level of consciousness decreased which requires prompt attention.
  • Describes the five rights of clinical reasoning: an educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients.
  • Explains lewis's medical-surgical nursing assessment and management of clinical problems, new south wales: elsevier australia.
  • Explains that medlineplus (2010), atenol, and rull, g. (2011). cardiogenic shock. smeltzer, bare, farrell and dempsey.
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