NCP (Coronary Artery Disease)
NCP (Coronary Artery Disease)
NCP (Coronary Artery Disease)
In Partial Fulfillment of
the Requirements in NCM-214 RLE
Submitted to:
MR. RALPH PARUNGAO, RN, MAN
Clinical Instructor
Submitted by:
KRISTILE-ANN L. PACATE, St.N
BSN3C – Group 1
4. Provide 4
supplemental
oxygen as
ordered. Rationale:
Increases oxygen
available for myocardial
uptake and
reversal of ischemia.
5. Elevate the 5
head of the bed if the
patient is short of breath.
Rationale: Facilitates
gas exchange to
decrease hypoxia and
resultant shortness of
breath.
7. Observe the 7
associated
symptoms.
(dyspnea, nausea,
vomiting, dizziness, and
palpitations)
Rationale: These
presenting symptoms
might be due to
decreased cardiac
output that stimulates
sympathetic and
parasympathetic
nervous system and the
decrease of cardiac
output will indicate a
warning sign of heart
attack.
8. Monitor serial 8
ECG changes
Rationale:
tracings
ischemic
which may disappear
when the patient is no
longer in pain. They also
serve as a baseline
against which
subsequent pattern
changes can be
compared.
9. Monitor heart 9
rate and rhythm
Rationale:
Patients
may have an increased
risk of acute life-
threatening
dysrhythmias.
10. Maintain a quiet
and comfortable 10
environment.
Rationale: Mental and
emotional stress
increase myocardial
workload