Coronary artery disease (CAD) is a condition in which plaque builds up inside the coronary arteries. These arteries supply your heart muscle with oxygen-rich blood. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood. Plaque narrows the arteries and reduces blood flow to your heart muscle. It also makes it more likely that blood clots will form in your arteries. Blood clots can partially or completely block blood flow. When your coronary arteries are narrowed or blocked, oxygen-rich blood can’t reach your heart muscle. This can cause angina or a heart attack. Without quick treatment, a heart attack can lead to serious problems and even death.
CAD is the most common type of heart disease. Lifestyle changes, medicines, and/or medical procedures can effectively prevent or treat CAD in most people. Other names for Coronary Artery Disease are Atherosclerosis, Coronary heart disease, Hardening of the arteries, Heart disease, Ischemic heart disease, and Narrowing of the arteries.
Here are 5 Coronary Artery Disease Nursing Care Plans
1. Decreased Cardiac Output - Coronary Artery Disease Nursing Care Plans
NDx: Decreased cardiac output r/t increased vascular resistance
Cad causes narrowing of blood vessels. This condition leads to intense pressure exerted on the walls of the blood vessels. The body’s compensatory mechanism is to increase the work load of the heart and thus the patient has decreased cardiac output.
| Assessment | Planning | Nursing interventions | Rationale | Expected outcome |
| S= ∅ O=The patient may manifest:
| Short term: After 2-3 hours of nursing interventions, the patient will verbalize understanding of disease process.
Long term: After two days of nursing interventions the patient will participate in activities to decrease in the heart’s workload |
|
| Short term: The patient shall have verbalizedUnderstanding of disease process. Long term: The patient shall have participated in activities to decrease in the heart’s workload |
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Wow, I am so encouraged by this wsbtiee!I am 55 yrs old. On Sept. 9, 2011 I had a weird back/and chest pain. After an angiogram I was diagnosed with SCAD, my RCA had a dissection in the smaller vessel so couldn’t be stinted.Upon getting ready for work one morning, I developed back/chest pain’ that lasted 40 min. It radiated from my upper back to my upper sternum. Being diagnosed with SCAD leaves me feeling alone’ as little is known about SCAD and most Dr’s have never heard of it. My Cardiologist has me on 81 mg aspirin and 75 mg Plavix, and wants another angiogram in 6 mos. He advised no lifting nor exercise for several months. Bummer! ( this has been hard and depressing). I am an avid walker/hiker, don’t smoke nor drink and my angiogram showed a healthy heart, I don’t have high BP, eat healthy (for the most part!) and am not overweight 5’4 110 pounds.’This is so disappointing and all my friends say and you’re so healthy!’ I feel like a walking time bomb’ as no one knows what can prevent this. Therefore I am very interested in this study.I have concerns over having another angio. Do yo think this is necessary? I would like to have a less invasive test. My Dr. still wants to go ahead and sched. one for Feb.I want to mention that in 2010 I had a routine vag. hysterectomy w/ A&P repair, of which I had 3 spontaneous hemorrhages from each site in the 4th ,5th and 6th week post op. I saw many Doctors and ended up in Loma Linda Med Ctr. in CA. This was extremely frightening and almost died of blood loss. The specialists told me I was very rare’, strange and unheard of’. My vessels from each incision had to be cauterized wondering if there is any relationship in regards to my vessel tenacity/turgor along with fluctuating hormones. The Drs were so puzzled and still are. I am continually haunted, emotionally over this. Now I am again told, with SCAD, that this is very rare’ ..I am looking forward to what will be learned in this study, and hope I can be of some use!Thank youElaine
Thanks for the
awesome post. I liked it a lot. Great
work, keep it up.
You’re welcome!
I am 51 yrs old and I’ve had two SCAD’s in the last year. One on the inferal larteal branch of the circumflex coronary artery in October 2010 and one on the left anterior descending coronary artery September 2011. I’m in Oregon for those others here After the first one, they put me on a statin, plavix and metoprolol. I also took CoQ10 and calcium and magnesium at the recommendation of a naturopath. I stopped taking the statin after I talked to the naturopath, my pharmacist and a physical therapist I know. I was also reading Dean Ornish’s book on Reversing Heart Disease and they all held similar opinions about statins for people without family history of high cholesterol. I started eating more vegetables and fruit, less rice, bread and pasta and less refined sugar. I added dried fruits and nuts to my diet and lost 15lbs. I felt good! I was so excited to be released from the Plavix in July 2011 after the October 2010 heart attack. I was getting goose eggs everytime I bumped into anything. In late August I walked the Portland to Coast Relay and in early September I had the second dissection. There has been no cardiac follow up yet. I don’t think they know what to say. And when they told me in the hospital that it didn’t matter what I did, I got depressed. Doctors should never say things like that. The connection between body and mind is too strong. So, I made an appointment with a therapist and I signed up for cardiac rehab, if that’s all they’ve got for me then I’m going for it. At least then I can feel like I’m doing something. I know I can’t control this, but I can do the best I can at being healthy and engaged in life.