Coronary Heart Disease. NUR -224. Coronary Heart Disease. Affects 16 million people Causes more than 600,000 death annually Caused by impaired blood flow to the myocardium Accumulation of atherosclerotic plaque in the coronary arteries usual cause.
* beta blockers
* calcium channel blockers
Long acting nitroglycerin
*Cardiac muscle troponins (sensitive indicators
of myocardial damage)
* Creatine Kinase (CK) & CK-MB (specific to
Is recommended for patients:
Goal: open the affected artery within 90 minutes of arrival to a facility
Post procedure care:
60% within the first hour
40% prior to hospitalization
Serum Cardiac Markers
Creatine kinase (CK )
Immediate treatment goals for the MI
Ineffective Tissue Perfusion
L-sided heart failure whereas R- heart failure caused by conditions that restrict blood flow to the lungs (acute/chronic pulmonary disease).
Left sided heart failure can lead to right sided heart failure.
Left-sided heart failure
Manifestation of L-sided heart failure result from pulmonary congestion (backward effects) and decreased cardiac output (forward effects).
Right sided heart failure