ANGINA PECTORIS
Angina pectoris is a
pain in the chest caused by myocardial ischemia .
Ischemia means
deficiency of blood supply to the myocardium.
ETIOLOGY
§
Blockage
or narrowing of a coronary artery
§
Cigarette
smoking
§
Exposure
to cold or heat
§
Myocardial
ischemia
§
Lack of
oxygen
CLINICAL MANIFESTATION
§
Chest
pain
§
Tachycardia
§
Increased
or decreased blood pressure
§
Dyspnea
§
Nausea
§
Vomiting
§
The pain
lasts for 5 to 10 minutes
TYPES OF ANGINA
There are 7 types
1.stable angina :
It is characterized by pain and discomfort caused by
emotions,physical exertion etc.
2.Unstable angina :
It occurs mostly in night ,pain
more than 20 minutes can relived by medical treatment
3. variant angina :
Pain takes more longer time . it
may can occur when patient take rest also.
4. Noctural angina :
It assosciated with rapid eye movement sleep during dreaming .
5. Angina decubitus :
Pain occur when patient sits or
stand up.
6.Intractable angina
:
It is a chronic pain in the chest .
7.Post infraction
angina :
It occur the pain after
myocardial infarction .
DIAGNOSTIC EVALUATION
o
Chest
X-ray
o
ECG
o
Tread
mill test
o
Echocardiography
o
Increased
creative protein (CRP)
MEDICAL MANAGEMENT
·
Nitrates
this help to relive pain such as nitroglycerine tablets
·
Antianginal
help to relieve pain and discomfort . example Beta blockers
·
Calcium
channel blockers it prevents vasodilation of coronary arteries . Example :
diltiazem ,folodipine .
·
Morphine
it acts as an analgesic and sadatives .
·
Anti
platelet therapy it helps to reduce the coronary artery disease and clot
formation.
·
Aspirin
helps to promote normal blood flow
·
Oxygen
supply
SURGICAL MANAGEMENT :
ü LASER ANGIOPLASTY
It
is performed with a catheter containing fibers that carry laser energy. This
laser energy used to dissolve the blockage in the coronary artery.
NURSING MANAGEMENT :
v
Cardiac
monitoring with 12 leads ECG.
v
Assess
the level duration of pain
v
Assess
signs and symptoms
v
Check the
vital signs
v
Advice
the patient to do some exercises
v
Advice
the patient to have small and frequent meals
v
Advice
the patient to stop smoking
v
Advice
the patient to take rest after meal
v
Advice
the patient to take food high in fiber because it prevents the constipation .
2 Comments
I was diagnosed with COPD with 55-60% lung capacity. and Hiv, My doctor just said all the crying , stomping your feet will not change it so just accept it and basically patted me on the back and sent me home to die. I was devastated and was afraid to do anything. I stopped riding my bike, I was afraid to do anything that would cause any exertion. It consumed my thoughts with every breath and the fear of what to expect was almost more than I could deal with. So I couldn't get myself all time I decided to find a herbal cure online and I came across Doctor Itua on how he cure several people suffering from Hiv, and Herpes I gave him a call on this Number +2348149277967 also chat on whatsapp he gave me all the details about the cure i paid him for the medicine after 5 working days i receive my herbal medicine ,I use it for two weeks that is how I get Cured and today I'm living healthy and fine I give him thanks also promise him to testify about his work,He Can also cure the following diseases..Copd,Herpes,Alzheimer's disease,carcinoma.Asthma,Allergic diseases.Parkinson's ,Epilepsy,Cancer,Fibromyalgia,Hiv,Hepatitis,diabetes,Coeliac disease,Infertility, Asthma.Contact...drituaherbalcenter@gmail.com..Whatsapp Number...+2348149277976
ReplyDeleteI had my TL a little more than a year ago when my third child was born via c-section. I was not told ANYTHING about the possible side effects of having this procedure. Since then I have experienced heavy bleeding lasting sometimes 3 weeks out of the month, weight gain, severe mood swings. Severe cramping, changes to my libido, severe depression accompanied by suicidal thoughts, headaches, migraines, many new symptoms & older issues are now exacerbated. The father of two of my children doesn't want me anymore. I've become too much of a pain in the ass I guess. We don't talk. We don't sleep in the same bed. I think he might really think I am crazy... & maybe I am. I feel crazy a lot of the time.
ReplyDeleteI'm unpredictable. I feel so angry about the whole thing & now what was once a mild fear of doctors has exploded into full on white coat syndrome that causes me to have a panic attack/hypertensive emergency (severe increase in blood pressure) whenever I have to deal with them. I'm not sure what to do... I fear the next time I have to see a doctor I'll have a stroke or a heart attack from the stress & anxiety of it... what do I do? I take my time and keep searching on internet looking for natural healing that how I came across Dr Itua herbal center website and I was so excited when Dr Itua told me to calm down that he will help me with his natural remedy I put my hope on him so I purchase his herbal medicines which was shipped to my address I used it as prescribed guess what? I'm totally healed my cramp pain is gone completely I also used his Anti Bacteria herbal medicines it's works for me very well I want anyone with health problem to contact Dr Itua herbal center for any kind diseases remedies such as Parkinson, Herpes, ALS, MS, Diabetes, Hepatitis, Hiv/Aids,Cancers, Men & Women Infertility, I got his email address drituaherbalcenter@gmail.com he has any kind of herbal remedies for women & men also for our babes. I really miss my Hunni...he's a fantastic father & a good man. He doesn't deserve this. I feel like an empty shell of who I used to be..