CAD question..

Any nursing diagnosis you pick has to based upon the symptoms the patient is having. The symptoms of the medical diagnosis of CAD are:

• angina
  
• nausea and vomiting
  
• cool extremities and pallor
  
• diaphoresis from sympathetic stimulation
  
• fatigue
  
• dyspnea

From that you get the following potential nursing diagnoses (assuming your patient has all of those symptoms):

• Activity Intolerance R/T acute pain, dysrhythmias, imbalance between oxygen supply and demand
  
• Acute Pain R/T myocardial ischemia
  
• Anxiety R/T ineffective breathing pattern, situational crisis
  
• Ineffective Breathing Pattern R/T compromised cardiac/pulmonary function, extreme anxiety
  
• Decreased Cardiac Output R/T myocardial ischemia, effect of medications, dysrhythmia
  
• Fear R/T potential death, threat to state of well-being
  
• Impaired Gas Exchange R/T imbalance between oxygen supply and demand
  
• Grieving R/T pain, changes in lifestyle
  
• Impaired Comfort R/T excessive sweating
  
• Ineffective Coping R/T deterioration of health
  
• Ineffective Denial R/T deficient knowledge of need to seek help with symptoms
  
• Fatigue R/T diseased state, increased energy requirements to perform ADLs
  
• Ineffective Health maintenance R/T deficient knowledge of condition
  
• Ineffective Sexuality pattern R/T disease process, medications, loss of libido
  
• Nausea R/T cardiac pain, dysrhythmias
  
• Sleep Deprivation R/T ineffective breathing pattern
  
• Disturbed Sleep Pattern R/T difficulty breathing, positioning required for effective breathing
  
• Ineffective Tissue Perfusion (Cardiopulmonary, Peripheral) R/T interruption of arterial or venous flow