Types Angina pectoris or chest pain
1. Stable angina
Stable angina is found more often in people. The symptoms of this type occur regularly and are predictable. Usually, people with this type suffer from the chest discomfort during exercise and stress, or after consuming heavy meals. Generally, the symptoms last not more than five minutes and improve when the patient rests or takes medications such as nitroglycerin, amlodipine besylate, or ranolazine.
2. Unstable angina
Unstable angina is found less often but more serious than the first type. Unlike the stable one, the occurrence of unstable angina cannot be predicted. The symptoms of this type also tend to be more severe. Unstable angina usually creates more pain and occurs longer and more frequent. Usual medication or resting cannot improve the symptoms. While unstable angina differs from heart attack, it is often noted as the precursor to heart attack.
Nursing Diagnosis and Interventions for Angina Pectoris
Activity intolerance related to imbalance between oxygen supply needs, tissue ischemia, weak.
Nursing Interventions and Rational:
1. Record the frequency, rhythm and blood pressure changes before, during and after the activity as indicated.
Rationale: The tendency to determine a patient's response may indicate decreased activity and oxygen.
2. Increase breaks, limit activity on the basis of the pain / hemodynamic response, give aktvitas not spare the weight.
Rationale: Reduce myocardial work / oxygen consumption, lower complication risk (IM extension).
3. Limit visitors and / visit by the patient.
Rationale: Long Talks greatly affect the patient.
4. Instruct the patient avoiding increased abdominal pressure, eg, straining during defecation.
Rationale: Activities that hold their breath and looked down can lead to bradycardia, decreased cardiac output, and tachycardia.
5. Describe the pattern of a gradual increase in activity.
Rationale: Activities are developed, giving control of the heart.
6. Review the signs / symptoms suggesting intolerant of activity.
Rational: Palpitations, irregular pulse, chest tenderness, or dispenia may indicate a need for changes in the sports program.