It is assumed that the patient who complains of chest discomfort has clinically substantial heart pathology. Oxygen, aspirin, nitroglycerin, morphine, and a beta-blocker are given as part of the first course of therapy.
Inpatient bed rest with ongoing telemetry monitoring is necessary for patients with unstable angina. If signs of desaturation are seen, one should get intravenous access and give more oxygen.
When a patient has angina, the nurse should advise them to halt all activity, sit or rest in bed in a semi-posture, Fowler's and provide nitroglycerin sublingually. Treatment for angina pectoris focuses on symptom relief, disease progression slowing, and lowering the risk of future complications, including premature death.
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