Question

Develop a plan of care for the patient who has a percutaneous transluminal coronary angioplasty.

Answer 1

Nursing care plan for PTCA

Nursing Assessment:

Before the procedure:

• Collect the history of the patient
• Assess for any allergies to dye.
• check for intake of anticoagulants before the procedure.

During the procedure:

• Assess the cardiac condition.
• Monitor the ECG rhythm.
• Check the vital signs.

After the procedure:

• Assess the site for swelling, redness, and pain.
• Assess for complications such as bleeding, hematoma, and arrhythmia.
• Check the vital signs.
• Provide the bed rest.

Nursing Diagnosis:

• Anxiety or fear related to the angioplasty procedure, complication, and the need for surgery.
• Physical immobility related to restricted movement and bed rest.
• Pain related to angioplasty caused by puncturing of vessels.
• Knowledge deficit related to postoperative care and complications.

Goals:

• Reduced fear.
• Minimized complications.
• Manage postoperative care.

Nursing Intervention:

• Reassure the patient and relieve of fear.
• Provide appropriate position and relaxation for the patient to feel comfortable.
• Check the puncture site.
• Explain about the important of bed rest.
• Explain about the postoperative complication and its signs and symptoms.
• Check for urine output.

Expected outcomes:

• The patient showed reduced fear.
• The patient feels comfortable.
• Pain is minimized.
• Gained knowledge of postoperative complication and management.