Acute Pain related to Hypoxia - NCP for Angina Pectoris

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Nursing Care Plan for Angina Pectoris

Angina pectoris is a term that describes chest pain caused by myocardial ischemia. Angina is chest pain or discomfort that is caused when heart muscle does not get enough blood. It usually lasts for only a few minutes, and an attack is usually quickly relieved by rest or drugs (such as nitroglycerin). Also, it is possible to have myocardial ischemia without experiencing angina.

Risk factors
  • Risk factors for cardiovascular disease include family history, smoking, diabetes mellitus, metabolic syndrome, hyperlipidaemia, hypertension, obesity and lack of exercise.
  • Cardiac abnormalities, especially outflow obstruction such as aortic stenosis or hypertrophic obstructive cardiomyopathy.
Signs and symptoms

Symptomatology reported by patients with angina commonly includes the following:
  • Retrosternal chest discomfort (pressure, heaviness, squeezing, burning, or choking sensation) as opposed to frank pain
  • Pain localized primarily in the epigastrium, back, neck, jaw, or shoulders
  • Pain precipitated by exertion, eating, exposure to cold, or emotional stress, lasting for about 1-5 minutes and relieved by rest or nitroglycerin
  • Pain intensity that does not change with respiration, cough, or change in position


Nursing Diagnosis and Interventions for Angina Pectoris

Acute Pain related to Hypoxia

Goal: Chest pain is reduced.

Interventions:
  • Analyze and record the characteristics of chest pain, complaints of verbal, facial expression, blood pressure.
  • Create a comfortable and quiet atmosphere.
  • Give oxygenation.
  • Collaboration with physicians in drug delivery: analgesic.

Rationalization:
  • To determine the development.
  • In order for the client to feel calm.
  • To meet the need of oxygen.
  • In the administration of analgesics to reduce pain and shortness of clients.

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