Download Coronary Artery Disease

Coronary Artery Disease
PATIENT NAME _____________________________
SOC
____________________
INITIAL
Definition of coronary artery disease.
______ ______ A. It is a progressive disease characterized by a narrowing or blockage of one or
both of the coronary arteries causing a decreased blood supply to the heart.
______ ______ B. The decreased blood supply creates a lack of oxygen and nutrients to the
heart and can cause tissue damage.
______ ______ C. The disease develops slowly and may be very advanced before symptoms
occur.
______ ______ D. The primary cause is atherosclerosis, which is the buildup of fatty, fibrous
plaque on the inner wall of the artery causing it to become narrowed and
hardened.
Factors that may increase risk of coronary heart disease.
______ ______ A. Controllable factors:
______ ______ 1. Cigarette smoking.
______ ______ 2. Elevated blood pressure.
______ ______ 3. Stress.
______ ______ 4. High cholesterol diet.
______ ______ 5. Obesity.
______ ______ 6. Sedentary lifestyle.
______ ______ 7. Diabetes mellitus.
______ ______ 8. Use of estrogen oral contraceptives.
______ ______ B. Noncontrollable factors:
______ ______ 1. Age (risk increases with age).
______ ______ 2. Sex (incidence rate in men is three times that of women).
______ ______ 3. Race (incidence rate is higher in blacks than in whites).
______ ______ 4. Family history.
Measures to prevent or manage coronary heart disease.
______ ______ A. Limit cholesterol intake. (Give “Low Cholesterol Diet” teaching guide
______ ______ B. Avoid food and drink containing caffeine, i.e., chocolate, coffee, colas.
______ ______ C. Eat a low sodium, high fiber diet. (Give “Low Sodium Diet” and “High Fiber
Diet” teaching guides.)
______ ______ D. Exercise regularly, avoiding occasional, strenuous exercise.
______ ______ E. Avoid stress. (Give “Stress Management” and “Relaxation Techniques”
teaching guides.)
______ ______ F. Lose weight if overweight. (Give “Low Calorie Diet” teaching guide
______ ______ G. Avoid smoking. (Give “Tobacco Abuse” teaching guide )
______ ______ H. Take medications as ordered.
______ ______ I. Wear Medic Alert bracelet.
Possible complications of coronary heart disease.
______ ______ A. Myocardial infarction.
______ ______ B. Angina pectoris.
______ ______ C. Heart failure.
______ ______ D. Dysrhythmias.
______ ______ E. Cardiac arrest