Question

Using the case study presented below, create your pathophysiologic flowchart specifically for this patient including information regarding cardiovascular risk factors. Include the priority interventions you would implement during your care of him in the hospital. This may be an assignment that is done on paper by hand and then scanned into a document for posting on the discussion board as an attachment. Remember, to respond to ONE of your colleague's posts. A 44-year-old man presented to the emergency department with chest pain that had started 1 hour earlier that had awakened him from sleep. His wife “made” him chew and swallow a dose of 325 mg of Aspirin before the paramedics arrived to transport him. The pain was severe, substernal, burning, radiating to the left arm, and accompanied by nausea and nonbilious, nonbloody vomiting. He was given Morphine Sulfate, a dose of Clopidorel and was taken to the interventionalcardiac cath lab within 75 minutes of his arrive in the Emergency Department. He was diagnosed with an obstruction of his proximal left anterior descending (LAD) coronary artery. This man’s past medical and social history includes cigarette smoking of ½ pack/day for 22 years, 1-2 beers/day following work as a construction foreman, elevated lipids, and hypertension. His only medication prior to admission was an angiotensin receptor blocker. Following a successful percutaneous transluminalangioplasty (PTCA) with stent placement and an uneventful post-procedure hospitalization, he is to be discharged.

Answer 1

The priority nursing care for this patient will be

• Relieve his pain
• Check for any complications of cardiac catheterization
• keep patient NBM as per order
• Elevate upper limb if procedure done on hand
• monitor for pedal pulse if done via femoral site
• Monitor vital signs for first four hours with regular interval