good morning! quick question..what are some nursing diagnoses for someone w/ coronary artery disease besides altered perfusion? if you could offer any input or anything i would greatly appreciate it! thanks and have a great day!
any nursing diagnosis you pick has to based upon the symptoms the patient is having. the symptoms of the medical diagnosis of cad are:
nausea and vomiting
cool extremities and pallor
diaphoresis from sympathetic stimulation
from that you get the following potential nursing diagnoses (assuming your patient has all of those symptoms):
decreased cardiac output r/t myocardial ischemia, effect of medications, dysrhythmia
first, i love your advice that you give to nursing students. i learn alot by reading your advice. we are currently studying cardiology. i was wondering for this diagnosis is myocardial ischemia automatic with cad?
For CAD, it's very possible that myocardial ischemia is not yet an issue if the CAD hasn't progressed to where it actually impairs blood flow in the various coronary arteries. It's quite possible to have very severe CAD and absolutely no signs or symptoms. However, once a certain point is reached, then you'll see those symptoms... up to and including decreased cardiac output because the myocardium is becoming ischemic (or worse).
So, it's not automatic, but it's within the range of problems that can develop as CAD progresses.