Ischemic Stroke Post Angioplasty: Assessment and Nursing Intervention

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[COMPANY NAME] [Company address]
PERCUTANEOUS CORONARY
INTERVENTION

NURSURGICAL CASE STUDY 1
Contents
QUESTION 1.................................................................................................................................................2
QUESTION 2.................................................................................................................................................5

NURSURGICAL CASE STUDY 2
QUESTION 1
ANSWER 1
Medical complications post-surgery is not common or mandatory, however cannot be ruled out
in cases of complex surgery. Cardiac catheterization is such a process that results in some severe
complications (Carlson, & Fitzsimmons, 2019). Cardiac catheterization or angioplasty is a
process where a stent is placed in an artery to open the block and allow free flow of blood. In the
present case, the client underwent angioplasty and pre-surgery evaluation shows angina pain.
Angina pain is not indicative of acute myocardial infarction or stroke, however they can be the
risk factors or manifestations of a MI. Research shows, the chances of ischemic stroke increases
post cardiac catheterisation that includes placing of advance catheter wires in aorta through
transfemoral or transradial pathway (Dalal, Dalal, H. Voukalis, & Gandhi,, 2017). During the
placing of catheter, dislodging of debris can occur that is made up of thrombus. The other
particles that might get dislodged includes calcific material, artherosclerotic plaques, cholesterol
particles that are present in proximal carotid, aortic arch or vertebral arteries. Fresh formation of
thrombus at the catheter has been reported too. The majority of ischemic stroke post angioplasty
or stenting is due to thromboemboli (Dunkley, Siefers, & Tagney,, 2016). Thus, it is important to
assess Mr. bright for ischemic stroke post angioplasty.
Age is a risk factor for stroke post cardiac catheterisation. Retrospective studies shows older
adults ( more than eighty years of age) are more likely to have stroke post catheterisation if the
risk factors of cardiac disease and vascular disease is high. In the present case, Hary is 67 year
old which doesn’t place him in this category. But he smokes 20 cigarettes per day that