ISHEMIC HEART

DIEASE

Presented by: Gideon Malcolm Presented to: sir shafeeq

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Objective

 Introduction of ischemic heart diseases.

 Case scenario of the patient related to ischemic heart diseases .

 Over view of Nursing and medical diagnosis related to ischemic heart diseases

 Discuss about Nursing care plan related to ischemic heart disease.

 Discuss on Article, theory, recommendation and rational according to disease.

 Question regarding disease at the end of presentation.

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Ischemic heart disease

 Also known as coronary artery Disease (CAD)

 Ischemic heart disease (IHD) is a condition in which there is an inadequate supply of blood

and oxygen to a portion of the myocardium.

 Imbalance between Myocardial oxygen supply and demand.

 Caused mainly by Atherosclerosis of Coronary Artery.

 It includes:

- Angina : Stable & Unstable

- Myocardial infarction

- Heart failure & Arrhythmia

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Case scenario

A 72 year old male patient admitted in hospital k/c diabetes HTN, IHD,CKD S/p CABG

DONE in2017 with chief complain of low Bp, abdominal distension, testicular swelling, pedal

edema, on physical assessment Gcs 15/15, BP 80/50, pluse 94, temp 98 F, Spo2 99%. During

the course of admission patient kept in icu invasive investigation was preformed CBC, UCE,

ABG’s and then started inotropic support, Pulmo taken on board ultra sounded tap done 1

litre fluid extracted. Patient responded well to i/v diuretics than started inj: mero and inj

leflox plus intropic support continued. Ultrasound kub done. Patient again shifted to the ward

after 3 days. Patient EF is 20% inotropic support continued and then patient discharged on

diuretics and midodrine tablet. Patient responded well to the treatment till now.

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 Nursing and medical diagnosis related to ischemic heart diseases

Nursing diagnosis :

 Decreases cardiac output related to decrease blood supply as evidence by tachycardia and

fatigue.

 Ineffective tissue perfusion related to narrowed arteries as evidence by decrease blood pressure.

 Hypothermia related to decrease blood supply as evidence by low blood pressure.

Medical diagnosis :

 Ischemic heart disease

 Fluid over load heart failure

 CKD (chorionic kidney disease)

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Functional Health Pattern

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Nursing Care Plan

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 ARTICLE
Ischemic Heart Disease: An Update

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 ISCHEMIC HEART DISEASES RELATED DR. JEAN WATSON THEORY

In the context of ischemic heart diseases, nurses applying

Watson's theory may focus on creating a caring and supportive

environment for patients. This includes promoting effective

communication, addressing patients' fears and concerns, and

involving them in their care. The theory also emphasizes the

importance of viewing patients as whole individuals, considering

their physical, emotional, and spiritual well-being.

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Conclusion & Recommendations

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Leaflet or Flyer

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Reference

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Questionnaire session

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Thank You

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