NURS3001 Help

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.

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 ♥

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