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Write 8 pages with APA style on Nursing Care and Primary Angioplasty of Thrombolysis.

Write 8 pages with APA style on Nursing Care and Primary Angioplasty of Thrombolysis. As a first step once the patient is brought in, detailed history of the patient is taken by the hospital staff with the help of accompanying relatives while the patient is getting ready for the procedure. Details to be collected typically include – onset duration progress of cardiac symptoms, similar complaints in the past, any other major illnesses like diabetes, hypertension, medicines with dosage, previous surgeries, any allergies, etc. Details are provided to the respective physician and orders noted accordingly. Meanwhile, the patient and the relatives are provided counseling and assurance.

Coronary Angioplasty is planned in this patient to widen the occluded coronary artery. These arteries supply blood and oxygen to the heart muscles. These arteries get occluded due to fatty tissue or atheroma resulting in reduced blood supply to the heart causing chest pain. Angioplasty is performed to open up the blocked vessels by compressing fatty tissue against the anterior coronary vessel wall. This procedure helps to improve blood flow through the vessels to the heart muscles and helps in relieving chest pain. Also, this procedure is advised when -

Coronary angioplasty can be a planned procedure or an emergency procedure in the case of a heart attack and unstable chest pain with acute myocardial infarction. (Coronary Angioplasty and Stents) This operation is performed either through the radial artery or femoral artery. The radial route is more popular in recent times because the radial artery is easily accessible and palpable. Its superficial location makes it easy to compress to achieve homeostasis later on. Normal Allen’s test ensures dual blood supply to hand. So in case of a bruise to a radial artery or radial blood flow shunt, hands will still receive perfusion through Ulnar artery without feeling any damage. There is less chance of nerve injury in the radial method. This approach provides comfort to the patient as it allows them the ability to mobilize.

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