一般情况下，冠状动脉成形术后介入置管需要较多的卧床休息时间，因为该方法用于诊断置管后。这最终增加了医生详细研究血管造影结果的时间，因此，构建一个计划来确定合适的干预，然后，消除任何类型的复杂性(Panchamukhi & Flaker, 2000)。Pearson(2015)认为护士在PCI术后有一定的护理责任。
In general, a patient needs more bed rest time after experiencing coronary angioplasty if conducted through interventional catheterization, as this method is applied after diagnostic catheterization.This eventually increases the time for the physicians to study the angiographic findings in detail and thereby, construct a plan to identify a suitable intervention and thereafter, eradicate any sort of complexity (Panchamukhi & Flaker, 2000).According to Pearson (2015), nurses possess certain post PCI care responsibilities.
These responsibilities comprise observing the patient continuously at periodic intervals for any sign of complications arising after the angioplasty, such as variations in temperature as well as blood pressure, heart rate, restricted SpO2 besides constant monitoring of their peripheral pulses and neurovascular status (Sheldon, 2001).This information acted as the base for question 3 in the interview process. In response (see Appendix), all the junior and the senior nurses provided similar viewpoint that the routine assessment process for a patient during PCI involves measuring heart-rate, blood pressure, temperature and peripheral capillary oxygen saturation (SpO2) among others.
This response was in alignment with the secondary findings retrieved from the report of Mayo Foundation for Medical Education and Research (2017), wherein it is mentioned that PCI complications generally increase amid the patients due to high blood pressure, fluctuating heartrate as well as temperature and lack of SpO2, which must be observed after the angioplasty is performed.The response to this question thus implies that the nurses in the CCU department of Hong Kong possess a general understanding of their responsibilities towards post PCI patient care.
Evaluation of puncture site begins from the time when the patients make an entry to the post anesthetic care unit (PACU) and continues until they are transferred to the inpatient unit.Considering that neurovascular observations are ought to be conducted with every observation set, the puncture site must be assessed in every 1 hour for better quality healthcare to the patients suffering from PCI, as it helps to ensure that required measures are taken immediately any sign of complication is observed (The Royal Children’s Hospital Melbourne, n.d.).