Nursing Care Plan (NCP) for a Patient with Angina Pectoris

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Acute Pain After 1 hour of Independent: After 1 hour of
"My chest feels tight related decreased proper nursing  Placed the patient at  To reduce myocardial proper nursing
and I feel really weak." myocardial interventions, the complete rest oxygen demand to interventions, the
as verbalized by the blood flow. patient will be minimize the risk of tissue patient was able to
patient. able to injury demonstrate relief
demonstrate of pain as
O – "This began relief of pain.  Instructed to do relaxation  To provide a sense of evidenced by pain
suddenly. It woke me techniques such as deep having some control over scale of 3/10,
from my sleep." and slow breathing the situation and to decreased
P – "This pressure in my exercise promote a positive attitude restlessness, and
chest is constant. stable vital signs:
Nothing that I do makes  Maintained a quiet,  To decrease external  BP = 130/84
it better or worse." comfortable environment. stimuli that may aggravate mmHg
Q – "My chest feels very the condition and to  PR = 88 bpm
tight." encourage to adjust to  RR = 20 bpm
R – "The pressure stays current situation
in my chest. I don't hurt Goal Met
anywhere else."  Established an IV of  To establish an
S – Seven on a 0-10 normal saline intravenous access
scale.
T – "This began about Collaborative:
an hour ago."  Administered 100%  To increase the amount of
oxygen via a oxygen available for
Objective: nonrebreathing mask, as myocardial uptake and
 Chest Pressure indicated thereby may relieve
 Restlessness discomfort
 Diaphoresis
 Tachycardia  Administered 0.4 mg  To control pain and
 Hypertension nitroglycerin sublingually, decrease myocardial
 O2 Sat: 99% as indicated workload and oxygen
 ECG: 110 bpm demand
(Sinus Tachycardia)
 Administered 2 mg
Vital Signs: morphine sulphate via IV  To relieve severe chest
 BP = 160/92 mmHg push, as indicated pain
 PR = 112 bpm
 RR = 22 bpm
References:
Doanges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales. (14 ed.). F. A. DAVIS COMPANY, Philadelphia, Pennsylvania
Vera, M. (2020). 4 Angina Pectoris (Coronary Artery Disease) Nursing Care Plans. https://nurseslabs.com/4-angina-coronary-artery-
disease-nursing-care-plans/