Nursing Diagnosis and Interventions
for Ischaemic Heart Disease
Nursing Diagnosis : Decreased
cardiac output related to electrical
factors (dysrhythmias), Decrease in
myocardial contraction,
structural abnormalities (papillary
muscular dysfunction and ventricular
septal rupture)
Outcome: The patient will demonstrate
a stable cardiac condition or better.
Intervention:
Maintain bed rest with head
elevation of 30 degrees during the
first 24-48 hours.
Assess and monitor vital signs and
hemodynamic per 1-2 hours.
Monitor and record ECG continue
to assess the rate, rhythm, and order
to each change per 2 or 4 hours.
Review and report signs of CO
reduction.
Nursing
Diagnosis : Acute pain related to an
imbalance of oxygen supply to
myocardial demands.
Outcome: The patient will express pain
decreased
Intervention:
Assess pain location, duration,
radiation, occurrence, a new
phenomenon.
Review of previous activities that
cause chest pain.
Create a 12 lead ECG during
anginal pain episodes.
Assess signs of hypoxemia, give
oxygen therapy if necessary.
Give analgesics as directed.
Maintain a rest for 24-30 hours
during episodes of illness
Check vital signs, during periods of
illness.
Nursing Diagnosis : Anxiety related to
the needs of the body is Threatened.
Objectives: The patient will
demonstrate reduced anxiety after
nursing actions.
Intervention:
Assess signs and verbal expressions
of anxiety
Take action to reduce anxiety by
creating a calm environment
Accompany patient during periods
of high anxiety
Provide an explanation of
procedures and treatments
Encourage patients to express
feelings
Refer to the spiritual adviser if
necessary