High Acuity Nursing
Cardiovascular High Acuity
Introduction: Functions of the heart: pumps nutrients out to tissues and takes away metabolic waste, delivers oxygen and removes CO2
Risk Factors: Classification
- nonmodifiable- age, race, gender, genetics
- modifiable- smoking, diet, activity, cocaine abuse, hypertension control, diabetes mellitus control
- contributing- obesity, type A personality, stress
Anatomy and Physiology: Blood supply is provided by: coronary arteries
- Right coronary artery
- Left coronary artery (aka Widow maker)
- Left anterior descending
- Circumflex
Cardiac cycle
- Diastolic-filling phases, ventricle receive blood from atria, coronary
arteries fill - Systolic-ejection phase, ventricle pressure greater than aortic
pressure, 90% of the heart’s oxygen consumption occurs during contraction
Cardiac output=SV * HR
Stroke volume: made of preload, afterload and contractility
Preload- Sterling’s law, ventricle filling
Afterload- tension during systolic ejection
Contractility- contractile force of the cardiac muscle
Compensatory Mechanisms- increased chamber size, thickened ventricle wall, increased HR
Angina Pectoris- chest pain from insufficient myocardial oxygen supply
Angina Classifications
- Stable- consistent pattern of cause, intensity, duration relieved by rest, nitroglycerin, or combination of both
- Unstable- changes in quality, duration, severity, or frequency of pain or trigger of pain
- Prinzmetal or Avarent- 15% die, no cause of onset, occurs at rest, caused by a vasospasm, occurs most commonly 12-8am
Causes of Angina- anemia, thrombosis to coronary artery, vasospasm of coronary artery, increased activity with increased oxygen demand, decreased diastolic filling time
Diagnositc Test Findings- EKG- decreased ST-segment with or without T wave inversion, increased ST-segment, stress testing, cardiac cath, CBC
Patient Care Goals: relieve acute pain and decrease cardiac workload
Strategies for patient care: decrease environmental stress, oxygen, morphine, nitroglycerin, assess ECG monitor and document, heart and lung sounds, VS, pain characteristics- location, duration, intensity, precipitation and relief, talk with patient about CABG, identify risk factors and lifestyle changes, family refer to CPR instruction and teach how to activate EMS