Summary
Samenvatting Fundament 2; Verpleegkundig: Angina pectoris
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Alle geziene leerstof over angina pectoris in fundament 2 van verpleegkunde in Leuven - Duidelijke structuur - Duidelijke foto's - Genummerde pagina's
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Angina Pectoris1. Definitie
ANGINA PECTORIS: beklemmende pijn in borstkas
PECTOR: borstkas
ANGINA: ziekte gepaard met pijnlijk gevoel van verstikking
= klinische uiting van ischemie, zuurstoftekort van myocard door onevenwicht tussen zuurstofnood –
aangevoerde hoeveelheid zuurstof op bepaalde plaats myocard
2. Oorzaak
- Atherosclerose (slagaderverkalking)
- Coronaire spasmen
- Klepaandoeningen bij normale coronairen
3. Symptomen
- Retrosternale ongemak, pijn
- Uitgelokt door inspanning, emotie
- Uitstraling naar linker arm, halsstreek, keel, kaken, schouders, rechter arm
4. Behandeling
- Operatief
o CABG
o PTCA
- Medicatie
o Nitraten
o Bètablokkers
o Acetylsalicylzuur
o Calciumantagonisten
5. Verpleegdiagnosen
- Pijn ten gevolge van myocardischemie
- Angst ten gevolge van de ernstige benauwdheid (doodsangst)
- Kennistekort over de coronaire ziekte, de risicofactoren, de behandeling en de preventie van
complicaties.
- Lichamelijke inspanningsintolerantie ten gevolge van een onevenwicht tussen O 2 aanbod in het
myocard en de O2 behoefte
6. Doelen
- Acute fase
o Pijn opheffen door myocardzuurstofbalans te herstellen
- Na stabilisatie
o Bewust maken van probleem
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