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Nursing Care Plan (NCP) For A Patient With Angina Pectoris
Nursing Care Plan (NCP) For A Patient With Angina Pectoris
Pineda
BSN 3A – A2
Nursing Care Plan (NCP) for a Patient with Angina Pectoris
Name: Patient X Date: February 15, 2021
Age/Sex: 50/M Time: 7:00 AM / Shift: 7
-3
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/