Nursing care during Primary Angioplasty Essay Example | Topics and Well Written Essays - 1750 words

Nursing care during Primary Angioplasty - Essay ExampleDetails to be collected typically include onset duration progress of cardiac symptoms, similar complaints in the past, both other major illnesses same(p) diabetes, hypertension, medicines with dosage, previous surgeries, any allergies, etc. Details are provided to the respective doctor and orders noted accordingly. Meanwhile the patient and the relatives are provided counseling and assurance. Coronary Angioplasty is planned in this patient to draw out the occluded coronary artery. These arteries supply blood and oxygen to the heart muscles. These arteries get occluded due to superfatted tissue or atheroma resulting in reduced blood supply to the heart causing chest disoblige. Angioplasty is performed to percipient up the blocked vessels by compressing fatty tissue against anterior coronary vessel wall. This agency helps to improve blood flow through the vessels to the heart muscles and helps in relieving chest pain. Also , this surgery is advised when - a. Medicines like calcium channel blocker, beta adnergic blockers or nitrates fail to correct coronary heart disease symptoms (NICE engine room appraisal guidance 71) or b. There is recurrence of chest pain post CABG (Coronary artery Bypass Graft surgery). Coronary angioplasty can be planned procedure or an emergency procedure in the case of heart attack and unstable chest pain with acute myocardial infarction. (Coronary Angioplasty and Stents) This unconscious process is performed either through radial artery or femoral artery. radiate route is more habitual in recent times because radial artery is easily accessible and palpable. Its superficial location makes it aristocratic to compress to achieve homeostasis later on. Normal Allens test ensures dual blood supply to hand. So in case of bruise to radial artery or radial blood flow shunt, men will still receive perfusion through Ulnar artery without feeling any damage. There is little chance of nerve injury in radial method. This approach provides comfort to the patient as it allows them major power to mobilize. It is easier for the patient to notice and control any bleeding from the radial incision, the femoral artery lies deeper in leg, so compressing the artery is difficult and by the time hematoma is noted bleeding would be significant. Radial artery method is cost effective too. (Radial Approach to Cardiac Catheterisation). Coronary Angiography is performed with the Angioplasty in an emergency. Angiogram allows doctor to visualize inside coronary arteries and find out how severe and where the narrowed areas are. (Coronary Angioplasty and Stents) Patient is advised what medicines to be avoided on the day of the procedure, such as aspirin or any anti coagulant, which medicines should be stopped some days before the procedure and what additional medicines need to be taken. He/she is also informed some the details of the procedure along with the effect of anesthet ic drugs during and after the procedure. Doctor explains about the nature of pain the patient may have. Nursing staff ensures that patient would not eat or drink anything 4 -5 hours before the procedure. Proper consent is taken from the patient and relatives informing them about the complication involved in it. Nursing staff prepares the patient for the procedure by checking