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Other Therapies: There are numerous drugs to decrease myocardial oxygen consumption: Intravenous nitroglycerin (NTG) by infusion, long-acting nitrates, narcotics for pain control, beta-adrenergic blocking agents, calcium channel-blocking agents, vasodilators, diuretics, antihypertensive agents, cholesterol-lowering agents, and anticoagulants.

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To decrease oxygen demand, encourage the patient to maintain bedrest until the pain subsides; even though bedrest is usually short term, a sheepskin, air mattress, foam pad, foot cradle, or heel pads can reduce the risk of skin breakdown and increase patient comfort. Encourage rest throughout the entire hospitalization.

Because anxiety and fear are common among both patients and families, attempt to have them discuss concerns and express their feelings. With the patient and family, discuss the diagnosis, the activity and diet restrictions, and the medical treatment. Refer the patient to a smoking cessation program if appropriate. Numerous lifestyle changes may be needed. Cardiac rehabilitation is helpful in limiting risk factors and providing additional guidance, social support, and encouragement. Adequate education and support are essential if the patient is to adhere to the prescribed therapy and treatment plan.

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