CORONARY CARE UNIT (CCU)GROUP MEMBER:NUR ATIKAH AMIRA BINTI RANIANNUR HUSNA BINTI AZMANNUR NADIA BINTI MOHD ZINMUHAMMAD IZZAT BIN ABDUL RASHIDSYAHIRATUN NAJAH BINTI SALIM

AIMS AND OBJECTIVES

The coronary care unit will aim to provide our patients with a high standard of care at all times

source: Bristol Heart Institute Coronary Care Unit is aim to provide holistic care for

acute cardiology patients administering a coordinated multi-disciplinary approach including the initiation of early intervention as appropriate

source: Queensland Health

HISTORY OF (CCU)

Dr. Desmond Julian found the first CCU at the Royal Infirmary of Edinburgh in 1964 and also located in Sydney, Kansas City, Toronto and Philadelphia.

Datuk Dr Khoo Kah Lin who is Malaysian Medical association president was starting the first Coronary Care Unit at Kuala Lumpur General hospital (now Hospital Kuala Lumpur)

SERVICE PART 1

Care services in the unit will include:♠ Close and constant observation in a high nurse/ patient ratio.

• To make sure patient in safe condition♠ Intravenous antiarrhythmic drug therapy

• Used to treat cardiac arrhythmia which is disturbance or irregularity in the heart rate, rhythm or both which requires administration of one of the arrhythmic drug

SERVICE PART 2

♠ Hemodynamic monitoring.• Evaluate the effectiveness of cardiovascular function such as cardiac

output and index♠ Temporary pacemaker implant.

• They are often used in emergency situations and for older patients in poor general condition

♠ Respiratory support following myocardial infarction.• Give support treatment for heart attack

TARGET GROUP

Patient with :⌂ heart attacks, ⌂ unstable angina, ⌂ cardiac dysrhythmia ⌂ various other cardiac conditions

PROMOTING IN PUBLIC HEALTH

Community-based Health programmes :• Promoting physical activity• Improve access to healthy food & increase barrier to

unhealthy food.• Community-based Non Communicating Disease risk

factor screening & intervention

NSPNCD

Objectives OF NSPNCD:►To prevent or to delay the onset cardiovascular disease and their related complication and to improve their management.

The Ninth Malaysia Plan also gave more emphasis in reducing the prevalence of thefollowing top disease priorities and its related risk factors:• Ischaemic heart diseases• Mental illness• Cerebrovascular diseases and stroke• Road traffic injuries• Cancers• Asthma and chronic obstructive pulmonary diseases• Diabetes mellitus• Infectious diseases of major public health problems, such as dengue, HIV/AIDS etc.

NSPNCD STRATEGIES

The NSP-NCD contains seven strategies:1. Prevention and Promotion2. Clinical Management3. Increasing Patient Compliance4. Action with NGOs, Professional Bodies & Other Stakeholders5. Monitoring, Research and Surveillance6. Capacity Building7. Policy and Regulatory Interventions

ACTIVITIES CONDUCTED BY THE CENTER

Activities in the unit will include : • Administering medications, consulting with physicians and pharmacists

as appropriate.• Cardiac monitoring (telemetry care)• Preparing patients for diagnostic and treatment service.• Documenting patients’ progress on patient charts.• Prescribing medications, consulting with nursing staff and pharmacist

as appropriate.

FACILITIES

THANK YOU