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Angina Pectoris


Angina Pectoris

          Angina pectoris or Stable angina is the medical term for chest pain. Angina pectoris is characterised by pain or episodes or pressure in the anterior chest

Classification Of Angina : 

           According  to Canadian Caridovascular Society

CLASS                       ACTIVITY EVOKING ANGINA                LIMITS TO ACTIVITY
I                                       Prolonged exerction                                       None
II                                      Walking >2 blocks                                         Slight
III                                     Walking <2 blocks                                     Marked
IV                                     Minimal or rest                                             Sever

Types Of Angina : 

A. Stable angina
B. Unstable angina
C. Intractable ore refractory angina
D. Variant angina
E. Silent ischemia

Clinical Manifestations : 

      Ischemia of the heart muscle may produce pain 

Assessment and Diagnostic Findings : 

                         Diagnosis of angina mostly done by evaluating the clinical manifestations 
  • Patient History
  • ECG ( 12 Lead ECG )
  • Blood Laboratory Values

Non-Invasive Procedures :

  • Stress test or Treadmill Stress test ( TMT )
  • Nuclear Scan
Invasive Procedures :
  • Cardiac  Catheterization
  • Caronary artery angioplasty 

Medical Management :


PHARMACOLOGIC THERAPY :


     The medications used for angina are Nitroglycerin, Beta-adrenergic blocking agents, Calcium channel blockers, Antiplatelet agents

Nitroglycerin :

Beta - Adrenergic Blocking Agents :

Calcium Channel Blocking Agents :

NURSING PROCESS :

Assessment :
          The nurse has to be collect the information about the patients symptoms and activities,

Assessment of Angina  

Serial     PAIN NEED TO         ASSESSMENT QUESTIONS 
               BE ASSESSED

P           Position                       "Where is the pain ?"
             Location                      "Can you point it ?"
             Provocation               "What were you doing when the pain began ?"

Q         Quality                          "How would you describe the pain ?"'
                                                  "Is it like the pain you had before?"
             Quantity                       "Has the pain been constant ?"                                       

Diagnosis

         Based on the assessment data,

1. Ineffective myocardial tissue perfussion secondary to CAD, as evidenced by chest pain.

    a) Ineffective myocardial tissue perfussion secondary to CAD, as evidencedy by feeling of    
         indigestion
    b) Ineffective myocardial tissue perfussion secondary to CAD, as evidenced by choking.



Questions

01.Which is the position provided for the patient diagnosing of angina pectoris
A. Semi Folwers Position
B. Prop up position
C. 
D.

02. In angina pectoris condition what are the change occur in 12 lead Ecg
A. ST segment depression
B. ST segment elevation
C. ST segment depression & elevation.
D. 

03. Medical treatment for angina pectoris
A. Coronary artery angioplasty
B. Cardiac catheterization
C. Oral administration of drugs
D. CABG & PTCA

04. Which of the most common symptom in angina pectoirs
A. Chest pain
B. Indigestion
C. Choking
D. Pain at Neck, Jaw, and Arm.

05.


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