Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health. You need to discuss at least one independent nursing intervention in your essay. For any collaborative nursing interventions you use you must discuss the nursing responsibilities and actions in relation to this collaborative intervention.
Percutaneous Coronary Intervention
Essay Case : Adult following Percutaneous Coronary Intervention: Balloon Angioplasty and Intracoronary Stent
Michael is a 56 year old male who has returned to the high dependency acute cardiac care unit following a Balloon Angioplasty and insertion of an Intracoronary Stent.
He has a history of Type 2 Non-insulin dependent diabetes and manages this with Metformin. He is on telemetry and is to lie flat for 3 hours post procedure. The
femoral artery sheath was removed in theatre, the site compressed and an opsite dressing applied to the site on his left inguinal region. He is currently on half
hourly circulation observations. He has an IV of 0.9% Sodium Chloride (1L) / 24 hourly infusing. His initial return to ward observations were HR 80/min, RR 18/min,
BP 120/80, Temp 36.9°C. When you perform your next set of observations 30 minutes later Michael’s observations are HR 110/min, RR 20/min, BP 100/70 and Temp 37° C.
He reports that he has pain in his groin and has a pain score of 4/10. He also says “I really want to pee but I can’t while I’m lying down.” His feet and hands feel
pale, clammy and cool. You lift up the sheet to inspect the catheter site and there is a large pool of fresh blood all over the sheet under Michael and a visible
leakage from the site.
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