Percutaneous Transluminal Coronary Intervention

Client outcome: have surgical area that show evidence of healing no redness, draining, or immobility _______________________________________________________

A full assessment of the wound should be carried out prior to selection of dressings. Any allergies should also be noted. The wound should be traced, photographed and measured providing data for comparison throughout the treatment. Consent should be gained prior to photographing the wound and the patient should not be identifiable from the photograph (Benbow 2004). All information should be documented in patients’ records, using the wound assessment tool. The pressure sore was identified as grade two

(REARDON, ANGER & SZUMITA, 2015.). There are two ways to assess pain which they have been used for long time. The first way is Visual analog Scale. The second way is Numeric Rating Scale which means patient should rate their pain in scale of (0-10) zero is no pain and 10 is the worst pain. REARDON, D. P., ANGER, K. E., & SZUMITA, P. M. (2015). However, “the nurse also judged patiens’ pain based on their appearance and mobility, and investigated any potential complications by conducting physical examination. The nurses often rechecked the pain levels in order to clarify and ensure that the recorded pain levels corresponded to the causes of the pain and suffering” (Chatchumni, Namvongprom, Eriksson, & Mazaheri, 2016) patients also may report no improvement for their pain even though with high dose of opioid and ask for high dose of opioid while the nurses noticed them sleeping or

Bright was experiencing some central chest pain, radiating to his left shoulder and jaw. He rated this pain as a 6/10. Glyceryl trinitrate spray was administered but he is still experiencing pain.

Providing care for post percutaneous coronary intervention (PCI) patients has evolved and the guidelines and protocols have been heavily influenced by research and evidence based practice (EBP). Unfortunately, coronary heart disease has become a major issue for the health status of Americans across the lifespan. According to the CDC, “About 610,000 people die of heart disease in the United States (U.S.) every year – that’s 1 in every 4 deaths.” In addition, treating coronary heart disease patients has negatively impacted the economic status of U.S. healthcare. Therefore, to manage

Some lifestyle-related conditions and decisions increase the likelihood of a person having heart disease. Some examples are diabetes, overweight and obesity, poor diet, lack of physical activity and excessive consumption of alcohol. High blood pressure, low-density lipoprotein (BAD) cholesterol, and smoking are key risk factors for heart disease. LBD is considered to be "bad" cholesterol because having high levels can lead to accumulation in the arteries, which can cause heart disease and stroke. If you lower your blood pressure and cholesterol, and if you do not smoke, you will reduce your chances of having heart disease. Now, in case of emergency, angioplasty which is the best treatment needs to get done. In this case we need to kake in consideration that not all hospitals are capable to made the process, so we need to be aware of our options. After the angioplasty you should take a daily medication, which will help your heart adapt to the implanted stents and they will not close again, a phenomenon known as restenosis, his medication should not be forgotten any day in order to minimize future

Although NRS-11 pain measures are technically classified as ordinal measures, most studies using NRS-11 as an outcome measure utilize parametric tests and consider the measures as interval or ratio data rather than ordinal measures.27 Therefore, assuming homogenous variance and a normal distribution, a parametric 2-tailed mixed-ANCOVA will be used as the primary statistical analysis. Prior to

Heart disease is the leading cause of death in the United States, and diagnosis and treatment can involve invasive procedures including coronary angiography and percutaneous coronary intervention (PCI). In several European countries and Asia the majority of heart catheterizations are performed using transradial artery access (TRA); however, in the United States, the transfemoral artery approach remains the preferred method for coronary angiography and PCI. The purpose of this paper is to review the current literature and discuss the use of TRA for PCI including the history of TRA, comparisons of many important aspects of TRA with the tradition femoral approach, and discuss recommendations and future implications for use of TRA in the

After 2 weeks, a baseline should be able to be established sufficiently without putting any subgroup at risk of serious infection considering the preventative measures taken. A final CNS should be taken, along with final measurements, and all groups should be compared to see if any quantifiable differences can be noticed, such as the size of the wound, amount of necrosis surrounding the wound, and how many ppm’s of bacteria are present. This is a purely quantitative study. We should note anything the patient says about pain, but only to insist that they intimate this to the physician or

Perform pain assessment and monitor vital sign to determine impact of patient’s pain experience. Ask patient to rate pain on a scale of 0-10 (0 no pain, 10 being the worst).

This article compares the recovery rate and timeliness associated using fibrinolytic therapy versus pPCI on STEMI patients. The study consisted of 29,190 STEMI patients, in a total of 229 hospitals. Time is of the essence when it comes to administering fibrinolytic therapy and percutaneous coronary intervention for treating STEMI. For instance, Fibrinolytic therapy has to be administered within a thirty minute

Shawna Garito BSN, RN, CWON is a nationally certified wound and ostomy specialist at Sacred Heart Hospital in Pensacola, Florida. She has been serving the Sacred Heart Ministry for 8 years in the cardiology, intensive care, and wound care capacity. She holds certifications in Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS) and Diabetic Foot and Nail Care. Currently, she provides advanced wound healing modalities for patients with wounds originating from diabetic complications, venous and arterial disease as well post-operative dehiscence. She also provides pre and post-operative education and teaching to new colostomy, ileostomy and urostomy patients.

A stent is a small mesh tube that's used to treat narrow or weak arteries, for example, the coronary arteries which supply oxygen-rich blood to your heart. Doctors place stents in arteries as part of a procedure called percutaneous coronary intervention, or PCI, sometimes called angioplasty. In coronary arteries narrowed by the buildup of plaque the procedure opens the blockage and restores blood flow to the heart muscle. Doctors also may place a stent in weak arteries to improve blood flow and help prevent the arteries from bursting. To place a stent in one of your coronary arteries your doctor will make a small opening in a blood vessel in your upper thigh, arm or neck. Through this opening your doctor will thread a thin flexible tube call a catheter.

Many patients in a hospital setting experience pain. Pain is considered the fifth vital sign and should be addressed as important as other vital criteria (Jones & Koneti, 2016). It is subjective and is what the patient says it is. Pain can vary from patient to patient. Majority of patients indicate pain verbally, but what happens when an individual cannot verbalize their pain? This is the situation for nonverbal individuals. Pain assessment in the healthcare setting is important because it assists in the diagnosis of the cause of pain. Pain may be an indicator of tissue damage but may also be experienced when there is no identifiable cause (Jones & Koneti, 2016). The effectiveness of assessing pain in nonverbal patients is seen with the use of the FLACC scale and can be compared to a verbal report.

Microvascular reconstructive flap surgery is an effective way for the medical team to improve the appearance or functionality of a surgical or existing tissue defect. Microvascular free tissue transfers, or free flaps, are monitored for arterial and venous insufficiency for several days during the post-operative period. The gold standard for flap monitoring includes the clinical inspection of color, capillary refill, temperature, and turgor of the transplanted tissue involved. Due to limited alternative reconstructive options available to patients, accurate and timely flap assessments are critical to the viability of the flap. Unfortunately post-operative complications are sometimes unavoidable, however monitoring by a trained clinician is associated with early flap salvage rates that in turn improve patient care outcomes (Salgado, Chim, Shoenoff, & Mardini, 2010).