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IntroductionThis paper will discuss about Mrs. Elizabeth Rose Green, who is a 78 years old retiredwidow and lives alone with the support of her son and daughter. In this case study,Mrs. Green undergoes coronary angioplasty following 10 minutes of unrelieved chestpain and left shoulder pain. A coronary angioplasty was performed using a femoralartery approach and a blockage was found in her left anterior descending artery.First of fall, this paper with discuss actual or potential problem that could occurwithin first8 hours post coronary angioplasty. It will also include the anatomy,physiology, pathophysiologyand pharmacology related to the problem followed byevidence-based plan of care required to identify the problem after the procedure.Finally, this essay will conclude with critically analyzing and linking nursing carewith standard 7, standard 7.2 and standard 7.3 of Registered NurseStandards forPractice (NMBA 2016).Coronary Angiography and AngioplastyThe main cause ofCoronary heart disease (CHD) is atherosclerosis, where plaquebuilds up due to lipids accumulating in the artery. This reduces the lumen of the bloodvessel and impairs the blood flow to the coronary artery. Plaque lesions may ulcerate,leading to clot formation and completely blocking the vessel. The manifestations ofCHD are angina pectoris, acute coronary syndrome and myocardial infraction(Hoffman et al. 2018, p. 118).1
In this scenario,Cardiac registrar decides to perform an angiogram to determine thecause of unrelieved chest pain. Coronary angiography is a minimally invasiveprocedure that is used to examine coronary arteries. It accurately diagnoses thelocation and severity of coronary artery disease. Standard angiography is performedby inserting the catheter via femoral artery. The catheter is guided through inferiorvenacava and into the heart where contrast dye is released into coronary vessels andmultiple radiographs are obtained (Mullin 2014).Coronary angioplasty is the treatment of coronary artery disease that is diagnosed byangiography. It is also known as Percutaneous Coronary Intervention (PCI).It is a non-surgical procedure, which is used to investigate and treat coronary arterystenosis by opening blocked or narrowed arteries and restore blood flow to cardiactissue. In coronary angioplasty, a catheter with balloon tip is inserted and the balloonis inflated at the site of narrowed coronary artery in order to open the lumen andimprove the blood flow. Angioplasty is often combined with permanent placement ofa tiny and expandable metal tube with wire mesh, which is known as stent to keep theartery open and reduce the chance of narrowing the artery again (Heart Foundation2018).In some cases, a drug-eluting stent may be used, which releases medication slowly tohelp prevent clotting at the site of stent and restenosis of the artery (Ogle 2011).

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Term
Fall
Professor
N/A
Tags
Cardiology, Atherosclerosis

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