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Coronary Artery Dis

Ch. 29 Lemone

Coronary Artery DiseaseCoronary Artery Disease
Coronary Artery Disease Generic term for disorders of heart and blood vessels, caused by impaired blood flow to myocardium
CAD Cause is accumualtion of arthersclerotic plaque in coronary arteries, May be asymptomatic, cause of death for all u.s. ethnic groups
CAD Risk Factors Non Modifiable > 50% are 65 or older; 80% of deaths, Male, african american
CAD Risk Factors Modifiable Hypertension, Diabetes mellitus, Hyperlipidemia, Elevated LDL, HDL above 35, reduce risk of CHD, elevated homocystine levels, Metabolic syndrome, Smoking, Obesity
Artherosclerosis Plaque formation, affecting the medial and intima of the medium arteries
Myocardial Ischemia Myocardial cells are ischemic when oxygen supply inadequate for metabolic demands and is dependent upon.
Myocardial Ischemia process myocardial cells have limited supplies of adenosine triphosphate for energy storage; store depleted contractibility affected
Myocardial Ishemia Cell Metabolism switches to anaerobic and produces lactic acid, after 20 min. aerobic metab and contactibility restored and cellular repair begins.
Coronary Heart Disease 2 Catagories Chronic ischemic heart diseas and Acute coronary syndrome.
Collaborative care for Cardio Vascular Disease Aggresive Risk Factor Management 1. Slow down arthersclerotic process 2. Maintain myocardial perfusion
CVD Diagnostic Test ECG,Exercise Stress Tests, Coronary Angiogram, EBCT, PTCA,CABG
CVD (Risk Factor Management) 1. Smoking 2. Diet 3. Exercise 4. Hypertension 5. Diabetes 6. Medications 7. Health Promotion
Diet for Coronary Heart Disease Avoid Saturated Fat, Include nonfat dairy products, fish, poultry as protien sources; us olive, canola, peanut oil, Increase fiber, Folic acid, Bit. B6 and B12, Moderate alcohol. Overweight encourage to lose weight. Excercise 5 to 6 times for 30 min.
Medications for CHD Cholesterol lowering drugs; Lower LDL, Bile acid sequestrants, Nicotinic acid, Fibrates, Low dose aspirin, ACE inhibitors
Nursing Diagnosis 1. Imbalanced Nutrition; More than body requirements, 2. Ineffective Health Maintnance; Interventions to lower or remove risk factors.
Created by: Daverica
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