Posted: April 4th, 2019

NUR2790 Complete the Cardiovascular Exemplar

Complete the Cardiovascular Exemplar Table in its entirety.

NUR2790_Module 07_Cardiovascular Exemplars_v2.docx

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Grading Criterion:

The student must identify at least 3 assessment findings that are appropriate for angina and 3 for acute MI
The student must include at least 2 nursing diagnoses written in 2-part format for each of the cardiac exemplars
The student must include at least 3 anticipated medications that may be ordered for each of the cardiac exemplars
The student must include at least 3 interventions for each (specific labs, procedures, imaging)
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.. Comparison of Cardiovascular Exemplars
Angina Acute Myocardial Infarction
Pathophysiology

Etiology

Assessment Findings (including Diagnostics)

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Nursing Diagnosis

Interventions (including meds and Surgical interventions)

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Comparison of Cardiovascular Exemplars
Angina Acute Myocardial Infarction
Pathophysiology Angina is caused by a temporary imbalance between myocardial oxygen supply and demand, resulting in chest discomfort or pain. It is usually caused by coronary artery disease and is a precursor to myocardial infarction. Myocardial infarction is the result of prolonged myocardial ischemia, leading to irreversible myocardial cell damage or necrosis. This occurs when a coronary artery is completely occluded, usually by a blood clot, leading to the death of myocardial cells.
Etiology Coronary artery disease, atherosclerosis, vasospasm, hyperlipidemia, hypertension, smoking, diabetes, obesity, sedentary lifestyle, stress. Coronary artery disease, atherosclerosis, vasospasm, hyperlipidemia, hypertension, smoking, diabetes, obesity, sedentary lifestyle, stress.
Assessment Findings (including Diagnostics) Chest discomfort or pain, tightness, pressure, or squeezing, radiating to the neck, jaw, shoulders, arms, or back, shortness of breath, sweating, nausea, dizziness, fatigue, ECG changes, abnormal stress test. Elevated cardiac biomarkers, chest discomfort or pain, tightness, pressure, or squeezing, radiating to the neck, jaw, shoulders, arms, or back, shortness of breath, nausea, vomiting, diaphoresis, dysrhythmias, ECG changes, angiography.
Nursing Diagnosis 1. Acute Pain related to myocardial ischemia.

Anxiety related to fear of impending death or disability. 1. Decreased Cardiac Output related to myocardial cell damage/necrosis.
Anxiety related to fear of impending death or disability.
Interventions (including meds and Surgical interventions) 1. Administer nitroglycerin to relieve chest pain.
Administer beta-blockers to decrease myocardial oxygen demand.
Administer antiplatelet or anticoagulant therapy to prevent thrombus formation. 1. Administer oxygen to increase myocardial oxygen supply.
Administer nitroglycerin to relieve chest pain.
Administer thrombolytic therapy to dissolve the blood clot.
Administer antiplatelet or anticoagulant therapy to prevent further thrombus formation.
Prepare the patient for percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) if indicated.
Monitor cardiac rhythm, blood pressure, oxygen saturation, and fluid and electrolyte balance.
Provide emotional support and education to the patient and family.

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