MED SURG ATI CAPSTONE III LEARNING
WORKBOOK 2026 SYSTEM BASED DISEASE
MANAGEMENT AND PRIORITIZATION
◉ Atherectomy.
Answer: Breaks up and removes plaque from coronary arteries.
◉ Stent Placement.
Answer: Wire mesh inserted to hold a vessel open.
◉ Angioplasty (PTCA).
Answer: Widening of a coronary vessel with a balloon or stent.
◉ Invasive Cardiac Procedure Nursing Care.
Answer: Monitor for perforation, embolus, re-occlusion; check VS,
chest pain, catheter site; use IV nitroglycerin; encourage fluids (if not
contraindicated); give anticoagulants; hold Metformin 24 hr pre-
and 48 hr post-procedure.
◉ Temporary Pacemaker.
Answer: Clean skin (no alcohol), proper pad placement, avoid breast
tissue, no BP on L arm, analgesics as needed.
, ◉ Permanent Pacemaker.
Answer: Leads via cephalic/subclavian vein to R heart; limit arm
movement 4-6 weeks; report dizziness, swelling, SOB.
◉ Stable Angina.
Answer: Predictable chest pain with exertion, relieved by rest or
nitro.
◉ Unstable Angina.
Answer: Unpredictable pain, occurs at rest, may precede MI.
◉ Prinzmetal's Angina.
Answer: Coronary vasospasm causing variable chest pain.
◉ Angina Nursing Care.
Answer: Monitor VS, pain, O₂, EKG; bed rest; IV access.
◉ Nitroglycerin/Isosorbide Use.
Answer: Vasodilation ↓ preload/afterload and myocardial O₂
demand. SL Nitro 1 tab q5 min ×3 → sit down first. Patches for
prevention.
WORKBOOK 2026 SYSTEM BASED DISEASE
MANAGEMENT AND PRIORITIZATION
◉ Atherectomy.
Answer: Breaks up and removes plaque from coronary arteries.
◉ Stent Placement.
Answer: Wire mesh inserted to hold a vessel open.
◉ Angioplasty (PTCA).
Answer: Widening of a coronary vessel with a balloon or stent.
◉ Invasive Cardiac Procedure Nursing Care.
Answer: Monitor for perforation, embolus, re-occlusion; check VS,
chest pain, catheter site; use IV nitroglycerin; encourage fluids (if not
contraindicated); give anticoagulants; hold Metformin 24 hr pre-
and 48 hr post-procedure.
◉ Temporary Pacemaker.
Answer: Clean skin (no alcohol), proper pad placement, avoid breast
tissue, no BP on L arm, analgesics as needed.
, ◉ Permanent Pacemaker.
Answer: Leads via cephalic/subclavian vein to R heart; limit arm
movement 4-6 weeks; report dizziness, swelling, SOB.
◉ Stable Angina.
Answer: Predictable chest pain with exertion, relieved by rest or
nitro.
◉ Unstable Angina.
Answer: Unpredictable pain, occurs at rest, may precede MI.
◉ Prinzmetal's Angina.
Answer: Coronary vasospasm causing variable chest pain.
◉ Angina Nursing Care.
Answer: Monitor VS, pain, O₂, EKG; bed rest; IV access.
◉ Nitroglycerin/Isosorbide Use.
Answer: Vasodilation ↓ preload/afterload and myocardial O₂
demand. SL Nitro 1 tab q5 min ×3 → sit down first. Patches for
prevention.
