This is a Do-It-Yourself Nursing Care Plan on Chest Pain.

All you have to do is put a check in the blank for the appropriate conditions/ situation for the nursing care plan. Customize and add details. Presto! An instant NCP!

ASSESSMENT: CHEST PAIN

NURSING DIAGNOSIS:

Related To:

___Myocardial Infarction

___Unstable Angina

___Coronary Artery Disease

___Chest Trauma

___Stress Anxiety

___Musculoskeletal Disorders

___Pulmonary, Myocardial contusion

___Other:_____________________________

As evidenced by:

Major: (Must be present)

___Person reports or demonstrates a discomfort.

Minor: (May be present)

___Increased BP

___Diaphoresis

___Dilated pupils

___Restlessness

___Facial mask of pain

___Crying/moaning

___Short of breath

___Anxiety

NURSING ANALYSIS: Analyze the probable cause of the problem

______________________________

DESIRED GOAL/ PLAN AND OUTCOME:

The patient will:

___Verbalize relief/control of pain.

___Verbalize causative factors associated with chest pain.

___Other: _____________________________

NURSING INTERVENTIONS:

___Assess for causative factors associated:

* Activity

* Stress

* Eating

* Bowel elimination

* Previous angina attack

* Other: ____________________________

___Assess characterizing of chest pain.

* Location

* Intensity (Scale 1-10)

* Duration

* Quality

* Radiation

___Review history of previous pain experienced by patient and compare to current experience.

___Instruct patient to report pain immediately.

___Continuous EKG monitoring; note and record pattern during pain. Obtain STAT 12-lead EKG per policy for acute changes noted on continuous monitor.

___Provide a quiet, restful environment.

___As per physician order, administer IV analgesics in small increments until pain is relieved or maximum dose is achieved. Monitor BP during administration of pain meds. Assess pt. response to pain medication and notify physician if pain is not controlled or pt. experiences adverse reaction (decreased BP, HA, distress).

___Administer nitroglycerine as ordered by physician. Monitor as stated above.

___Titrate IV Nitro to achieve pain relief as ordered by physician. Monitor hemodynamic response to medication (BP, urine output).

___Administer supplemental oxygen as ordered by physician.

___Assist with ADL's to reduce cardiac stressors.

___Assist in eliminating causative factors as identified by patient assessment.

___Other:______________________________

RATIONALE explains in detail why such nursing intervention is needed

______________________________________

EVALUATION:

___Goal met: __________________________

___Goal partially met: ___________________