1. PATHOPHYSIOLOGY - accumulation of fatty deposits along the inside of the coronary arteries - plaque buildup can narrow coronary arteries - leading to decrease in blood flow & oxygenation to coronary muscle
2. TREATMENT: Antianginals, beta blockers, calcium channel blockers, antilipids, PTCA, CABG
3. KNOWLEDGE DEFICIT
   1. S/SX
      1. SIGNS/SYMPTOMS
         1. PT FINDINGS
      2. Multiple questions from patient
      3. Pt Verbalizes misconceptions or inaccurate information
      4. Questions staff on meds & procedures
      5. Noncompliance
      6. Inappropriate treatment
   2. NIC
      1. NURSING INTERVENTIONS
         1. PT RESPONSE
      2. Assess understanding of angina
      3. Teach patient difference between stable & unstable angina
      4. Provide education on cardiac interventions
4. Risk for Decreased Cardiac Output
   1. S/SX
      1. SIGNS & SYMPTOMS
         1. PT FINDINGS
      2. Syncope
      3. Dizziness
      4. Weakness
      5. Abnormal Heart Sounds
   2. NIC
      1. NURSING INTERVENTIONS
         1. PT RESPONSE
      2. Assess heart rate and Blood pressure
      3. Monitor EKG
      4. Assess for Chest Pain
      5. Administer Meds
5. Chest Pain
   1. S/SX
      1. SIGNS & SYMPTOMS
         1. PT FINDINGS
      2. Chest tightness
      3. Chest pressure
      4. Chest pain during rest or activity
      5. Increased respirations
      6. Increased heart rate
   2. NIC
      1. Nursing Interventions
         1. PT RESPONSE
      2. Monitor cardiac enxymes
      3. administer 02
      4. Anticipate cardiac stress test or cardiac catherization
      5. Administer Nitroglycerin
      6. Assess Quality, location, severity, duration, onset, and relief of pain
      7. Administer Morphine
      8. Monitor EKG
6. Fear
   1. S/SX
      1. Pt Findings - Signs & Symptoms
      2. restlessness
      3. poor eye contact
      4. increased perspiration
      5. Trembling
      6. poor facial tension
   2. NIC
      1. PT RESPONSE - Nursing Interventions
      2. Assess level of fear
      3. encourage patient to call for nurse when pain or fear
      4. administer tranquilizer
      5. Respond to pain