Discharge And Home Healthcare Guidelines

PREVENTION. Teach the patient factors that may precipitate anginal episodes and the appropriate measures to control episodes. Teach the patient the modifiable cardiovascular risk factors and ways to reduce them. Manage risk factors, including hypertension, diabetes mellitus, obesity, and hyperlipidemia.

ACTIVITY. Each person has a different level of activity that will aggravate anginal symptoms. Most patients with stable angina can avoid symptoms during daily activities by reducing the speed of any activity.

MEDICATIONS. Be sure the patient understands all medications, including the dose, route, action, and adverse effects. If the patient's physician prescribes sublingual nitroglycerin (NTG), instruct the patient to lie in semi-Fowler position and take up to three tablets 5 minutes apart to relieve chest discomfort. Instruct the patient that if relief is not obtained after ingestion of the three tablets, he or she should seek medical attention immediately. Remind the patient to check the expiration date on the NTG tablets and to replace the bottle, once it is opened, every 3 to 5 months.

COMPLICATIONS. Teach the patient the importance of not denying or ignoring anginal episodes and of reporting them to the healthcare provider immediately.

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