CASE STUDY 9 Mrs. O’Grady GENDER SOCIOECONOMIC SPIRITUAURELI
CASE STUDY 9 Mrs. O’Grady GENDER SOCIOECONOMIC SPIRITUAURELIGIOUS… CASE STUDY 9Mrs. O’Grady GENDER SOCIOECONOMICSPIRITUAURELIGIOUSPHARMACOLOGIC Dipyridamoie (Persantine); atenoioi(Tenormin); atorvastatin calcium{Lipitor); conjugated estrogen, oralCULTURAL CONSIDERATIONSPREEXISTING CONDITIONS(Premarin)u Hypertension (HTN); angina; total abdominai hysterectomy six months ago; allergy to shellfishCOEXISTING CONDITION Positive myocardial perfusion imaging study (stress test) COMMUNICATION DELEGATION 23SYSTEM & THE BLOODClient ProfileCase StudyMrs. O’Grady is a 55-year-old female with a history of angina and recent hospital admission for complaints of chest pain and shortness of breath. It is determined that she did not suffer a myocardial infarction. Mrs. O’Grady’s health care provider has scheduled her for a cardiac catheterization after learning that the results of her dipyridamole (Persantine) myocardial perfusion imaging study (stress test) were abnormal.Mrs. O’Grady is having a cardiac catheterization today. The cardiac catheterization lab nurse assigned to care for Mrs. O’Grady will provide teaching, check to see thatthere are no contraindications for Mrs. O’Grady consenting to the procedure, and provide pre- and postprocedure care.s I. Why has Mrs. O’Grady’s health care provider prescribed a cardiac catheterization? What information will this procedure provide?2. What are the potential contraindications that can prevent someone from being able to have cardiac catheterization? is the conu-aindicadonList at least five manifestations of an adverse reaction to the contrast dye the nurse will watch for.How should the nurse respond when Mrs. O’Grady asks, “How soon will I know if something is wrong with me?” ll. is “informed consent”? Is consent requiredthat must be considered in Mrs. O’Grady’s case? prior to a cardiac catheterization? Why or why not? is this of concern? 12. Immediately following the cardiac catheteriza3. Discuss the pre-procedure assessments the don’t procedure, what is the nurse’s responsibility to the nurse will complete prior to Mrs. O’Grady’s cardiac help minimize bleeding at the femoral puncture site, catheterization.4, Discuss interventions the nurse will complete prior to Mrs. O’Grady’s cardiac catheterization. 5. Provide a brief rationale for why each of the following medications has been prescribed for Mrs. O’Grady; atenolol (Tenormin); atorvastaün calcium (Lipitor); conjugated estrogen, oral (Premarin). 6. W’hataretwo the appropriate nursing diagnoses to consider for Mrs. O’Grady prior to her having the cardia catheterization? 7. Mrs. O’Grady asks the nurse, “what are they going to do to me today?” Explain what a cardiac catheterization involves and how long Mrs. O’Grady can expect the procedure to last. Briefly describe the difference between left-sided and right-sided catheterization.8. What are the risks of having a cardiac catheterization? What are the two most common complications during the procedure?and what will be Mrs. O’Grady’s prescribed activity? 9. What are the risks of having a cardiac catheterization? What are the two most common complications during the procedure? 10. List at least five manifestations of an adverse reaction to the contrast dye the nurse will watch for. 11. How should the nurse respond when Mrs. O’Grady asks, “How soon will I know if something is wrong with me?” 13. Discuss the priorities of the nursing assessment following a femoral cardiac catheterization. Be sure to note in your discussion when the health care provider should be notified. 14. what are two nursing diagnoses to consider for Mrs. O’Grady following the cardiac catheterization? 15. Mrs, O’Grady has a left groin puncture site. She needs to go to the bathroom but is still on bed rest. What is the proper way for the nurse to assist her? 16. The results of Mrs. O’Grady’s cardiaccatheterizaüon indicates that she does not have any significant heart disease and her coronary arteries are patent. The health care provider discharges her. Her husband has been called to bring her home. MA-rat instructions should the nurse provide regarding activity, diet, and medications?Health Science Science Nursing NURS 3802
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