About
A surgical procedure where a balloon-tipped catheter is inserted into coronary vessels to help compress blocked areas and open vessels thereby improving blood flow and preventing ischemia. Usually this procedure is used in conjunction with insertion of coronary artery stent placement to hold open the vessel wall after opening of the narrowed vessel.
Assess
Chest pain, discomfort, fatigue, faintness, sweating, diaphoresis, shortness of breath, difficulty in breathing, other symptoms of acute coronary syndrome.
Complications
Percutaneous Transluminal Coronary Angioplasty
Diagnosis
- Decreased cardiac output related to impaired myocardial function.
- Impaired gas exchange related to cardiac surgery.
- Acute pain related to surgical intervention.
- Knowledge deficit related to pre-, intra-, and post-operative care.
- Risk for infection related to invasive procedure.
Goals
- The client will remain free from infection and complication.
- The client's vitals will remain within normal ranges.
- The client will have signs of adequate circulation to heart and peripheral tissues.
- The client will be able to identify appropriate pre-, intra-, and post-operative activities to decrease risk of complication.
Interventions
- Assess vitals, pulse-oximetry, ECG, peripheral pulses frequently.
- Assess respiratory and cardiovascular status for any changes indicating compromise.
- Teach client what to expect pre- intra- and post-operatively, including necessary activities to prevent complication ( early ambulation, coughing and deep breathing, etc.)
- Administer pain medications, anticoagulants as indicated by physician.
- Monitor incision site for redness, edema, drainage, bleeding, hematoma.
- Encourage coughing and deep breathing to prevent atelectasis and improve ventilation.
- Encourage opportunities for client to ask questions and clarify post-operative activities and restriction.
- Monitor telemetry and notify physician if arrhythmias develop.
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