NURS3001 Help

Editorial Team / Admin · Jan 26, 2020

The expectation when asking for help with assignments is that you show your work, not simply post the assignment. Additionally, this is exactly the type of help that your instructor would be able to give during office hours. You've essentially asked us to complete your entire assignment.

nursinguni · Jan 26, 2020

I have so far got the following.

Main concerns for this patient

1. Arrhythmia and myocardial infarction:

2: Haemorrhage: monitor patient’s coagulation test results and haemoglobin studies, usually every 4-6 hours post surgery.

3: Neurovascular observations: to assess limb for colour, warmth, CRT, pulse strength, sensation, movement and pain. Peripheral pulses.

4. Observations: Vital signs should be monitored and documented every 15 minutes in the first hour post procedure then every 30 minutes for 2 hours, every hour for 4 hours then 4 hourly observations.

5. Vascular complications: Haematoma or retro-peritoneal bleeding are among the most common complications observed after angioplasty. Haematoma are usually created after removal of the sheath following poorly controlled haemostasis. In-stent restenosis can occur within 48 hours.

6: Incision Site Care: assess patients femoral site, symptoms of oozing, swelling and increasing pain show signs of possible haematoma

7: Pain: the patient will experience acute pain due to tissue trauma from surgery as well as chest pain from the initial presentation.

8. Adverse reactions from contrast media: chemotoxic or anaphylactoid reaction to the media used in the procedure or contrast medium–induced renal failure.

Music in My Heart · Jan 27, 2020

Looks like you've got a pretty good handle on it. What specific help are you looking for?

And regarding forum etiquette:

Rather than expecting people to open your attachments (I generally don't for simple reasons of security), it would be more appropriate to copy/paste/format those sections which are germane to your specific questions.

♪♫ in my ♥

nursinguni · Jan 28, 2020

Thank you. Its just a matter of making sure i have covered everything, put my answers in the correct areas etc.

Task:
- Read the scenario below
- Bullet point list your main concerns for this patient.
- Provide a brief reason (rationale) for these concerns?
- Provide a numbered list in order of priority of the appropriate
interventions that need to be instigated for this patient, consider
the whole MDT.
- Provide a rationale/reason for these interventions. Consider
pathophysiology, pharmacology and evidence-based practice in
your rationale/reason.
- Your rationale/reason must be nursing focused
- Please remember to reference your work
Word count: 2000 words +/- 10%
Please note: This assignment does NOT follow essay format.
Your referencing must follow the APA 6th edition format

Scenario
Mrs Green is a 75-year-old lady who has been admitted to the cardiac
ward where you are currently on placement. She has been admitted with
chest pain and has just undergone a Coronary angioplasty via the left
femoral artery (previous failed attempt via the left radial artery) 1 hour ago.
Her current observations are BP 100/75, HR 98, RR 22, Temp 36.7, SpO2
98% on Room air (RA). She is alert and orientated