5 Coronary Artery Disease Nursing Care Plans

• restlessness
• increased bp
• cold clammy skin
• decreased peripheral pulses

After two days of nursing interventions the patient will participate in activities to decrease in the heart’s workload

1. assess patient’s condition
2. monitor and record vital signs
3. encourage patient to verbalize concerns
4. encourage patient to change position every two hours
5. encourage patient to do relaxation techniques
6. encourage patient to engage in divertional activities such as chatting with family and friends.
7. reinforced low salt and low fat diet

1. to determine possible prolems
2. for baseline data
3. to make client express his feelings
4. to improve venous return
5. to reduce stress
6. to divert attention and help patient lessen experienced pain and anxiety
7. to prevent further complications of the disease

• shortness of breath
• fatigue
• The pt. May manifest:
• pallor
• cool temperature
• decrease pulse
• decrease urine output

1. assess pt.’s condition.
2. monitor and record v/s.
3. note color and temperature of the skin.
4. monitor peripheral pulse.
5. provide a warmth environment.
6. encourage active rom.
7. monitor urine output.

1. to have baseline data.
2. to have baseline data and this are usually altered in the condition.
3. cool, pale skin is indicative of decrease peripheral tissue perfusion.
4. decrease pulse is indicative of decreased tissue perfusion from vasoconstriction of the vessels.
5. a warm environment promotes vasodilation which decreases preload and promotes tissue perfusion.
6. rom helps decreases venous pooling and promotes tissue perfusion.
7. decreased tissue perfusion to the kidneys may result in oliguria.

• restlessness
• pain scale of 9/10
• chest pain
• irritability
• (+) guarded behavior
• (+) facial grimaces
• crying
• v/s change
• diaphoresis
• sleep disturbance
• increase rr and pulse

1. assess pt.’s condition.
2. monitor and record v/s.
3. assess pains location and intensity/severity arising with.
4. provide comfort measures like stretching of linens and assisting in position.
5. provide diversional activities like having conversation w/ the pt.
6. stress to pt the importance of providing adequate rest period to the pt.
7. administer meds as ordered.

1. to have baseline data.
2. to have baseline data and this are usually altered in the condition.
3. to have baseline data for planning and interventions.
4. to provide non-pharmacologicalPain management.
5. to divert pt.’s attention.
6. to prevent fatigue.
7. to reduce pain.

1. monitor and record vital signs
2. teach method to increase activity level
3. plan care with rest periods between activities
4. provide positive atmosphere
5. assist with activities
6. promote comfort measures
7. encourage participation and diversion of activities

1. for baseline data
2. to conserve energy
3. to reduce fatigue
4. to minimize frustrations
5. to protect from injury
6. to reduce pain
7. to minimize pain

• verbalization of overwhelming lack of energy;
• compromised libido;
• lethargic or listless
• drowsiness
• disinterest in surroundings
• decreased performance
• weight gain

Long term:

After 3 days of nursing interventions, the patient will be able to perform adls and participate in desired activities/level of activity.

1. monitor vital signs
2. determine ability to participate in activities/level of mobility.
3. establish realistic activity goals with client
4. plan care to allow individually adequate rest periods, schedule activities for periods when client has the most energy
5. provide environment conducive
6. give medication as doctors ordered

1. to provide baseline data
2. to enhances commitment to promoting optimal outcomes
3. to maximize participation
4. to encourage patient’s cooperation
5. to maintain/increase strength and muscle tone and to enhance sense of well-being.
6. to lessen fatigue