NURS 2004 Chapter Notes - Chapter 51: Heart Failure, Translingualism, Hyperlipidemia
Document Summary
Chapter 51 drugs for angina pectoris nursing implications. Therapeutic goal: reduction of the frequency and intensity of anginal attacks. Baseline data: obtain baseline date on the frequency and intensity of anginal attacks, the location of anginal pain, and the factors that precipitate attacks. The patient interview and physical examination should identify risk factors for angina pectoris, including treatable contributing pathophysiologic conditions (e. g. hypertension, hyperlipidemia). Identifying high risk patients: use with caution in hypotensive patients and patients taking drugs that can lower bp, including alcohol and antihypertensive medications. Sublingual tablets used for prophylaxis or termination of an acute anginal attack. Instruct patients to place the tablet under the tongue and leave it there until fully dissolved; the tablet should not be swallowed. Instruct patients to call 911 or go to an emergency department if pain is not relieved in 5 minutes. While awaiting emergency care, they can take 1 more tablet, and then a third tablet 5 minutes later.