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The patient’s vitals indicate that the desired outcomes

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  • "The patient’s vitals indicate that the desired outcomes are achieved as per the nursing careplan. The patients systolic BP was maintained 90mmHG while administering GNT; the SpO2was maintained more than 98% upon administration of oxygen. The respira..

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  • "The patient’s vitals indicate that the desired outcomes are achieved as per the nursing careplan. The patients systolic BP was maintained 90mmHG while administering GNT; the SpO2was maintained more than 98% upon administration of oxygen. The respiration rate and heartrate was normal after 24 hours. The patient reported no chest pain after the procedure. Nobleeding was observed after the procedure. During the neurovascular assessment the nurseshave compared the pain, color, warmth, capitally refill, pulse, movement, and sensation in theaffected and unaffected limb. Around 1 hour after the surgery the patient had developedneurovascular changes. The patient’s left foot remained pale and cool, and the dorsal andpedal pulses were present. However, neurovascular changes alleviated within 2 hours andpatient was free from post-surgical complications. Conclusion:In conclusion, the give case study is a good example for the management of coronary arterydisease. The patient was provided right treatment and care by the physicians and nurses. TheECG was performed to rule out the complication of MI due to morphine administration.Further, the dosing frequency of the medications is well planned to prevent drug interactions.The patient was also referred to cardiac rehab which has improved the patient’s conditionsignificantly. The cardiac protocol and institutional norms were well followed in the casestudy. Reference: Byrne, R. A., Joner, M., &Kastrati, A., 2015. Stent thrombosis and restenosis: what have welearned and where are we going? The Andreas Grüntzig Lecture ESC 2014.European HeartJournal, vol. 36, issue 47, pp. 3320–3331. Available at:http://doi.org/10.1093/eurheartj/ehv511 Hamon, M., Lipiecki, J., Carrié, D., Burzotta, F., Durel, N., Coutance, G., Boudou, N.,Colosimo, C., Trani, C., Dumonteil, N. and Morello, R., 2012. Silent cerebral infarcts aftercardiac catheterization: a randomized comparison of radial and femoral approaches.American heart journal, vol. 164, issue.4, pp.449-454.Hwang, I.-C., Jeon, J.-Y., Kim, Y., Kim, H. M., Yoon, Y. E., Lee, S.-P., … Kim, Y.-J., 2015.Association between Aspirin Therapy and Clinical Outcomes in Patients with Non- Obstructive Coronary Artery Disease: A Cohort Study. PLoS ONE, vol. 10, issue 6,e0129584. Available at: http://doi.org/10.1371/journal.pone.0129584Jade, J., Huggan, P., & Stephenson, D., 2015. Who gets admitted to the Chest Pain Unit(CPU) and how do we manage them? Improving the use of the CPU in Waikato DHB, NewZealand.BMJ Quality Improvement Reports, Vol. 4, issue 1. Available at:http://doi.org/10.1136/bmjquality.u206670.w2735King, M., Smith, A., &Gracey, M., 2009. Indigenous health part 2: the underlying causes ofthe health gap. The Lancet, vol. 374, issue 9683, pp. 76-85.Available at:http://www.sciencedirect.com/science/article/pii/S0140673609608278Lake, S., Moss, C. and Duke, J., 2009. Nursing prioritization of the patient need for care: Atacit knowledge embedded in the clinical decision-making literature. International Journal ofNursing Practice, vol. 15, issue 5, pp.376-388. Availableat:http://onlinelibrary.wiley.com/doi/10.1111/j.1440-172X.2009.01778.x/fullRaut, M. S., &Maheshwari, A., 2016. Oxygen supplementation in acute myocardialinfarction: To be or not to be? Annals of Cardiac Anaesthesia, vol. 19, issue 2, pp. 342–344.Available at: http://doi.org/10.4103/0971-9784.179594 Schiks, I., Schoonhoven, L., Verheugt, F., Aengevaeren, W. and Van Achterberg, T.,2007.Performance evaluation of arterial femoral sheath removal by registered nurses afterPCI.European journal of cardiovascular nursing, vol. 6, issue 3, pp.172- 177.http://journals.sagepub.com/doi/abs/10.1016/J.EJCNURSE.2006.08.001Song, P. S., Hahn, J.-Y., Song, Y. B., Choi, J.-H., Choi, S.-H., Kang, G. H., …Gwon, H.-C.,2012. Effects of 600 mg versus 300 mg Loading Dose of Clopidogrel in Asian Patients withST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous CoronaryIntervention: Long-Term Follow-Up Study. Yonsei Medical Journal,Vol. 53, issue 5, pp.906–914. Available at: http://doi.org/10.3349/ymj.2012.53.5.906Walley, K.R., 2011. Use of central venous oxygen saturation to guide therapy.Americanjournal of respiratory and critical care medicine, 184(5), pp.514-520.Available at:http://www.atsjournals.org/doi/abs/10.1164/rccm.201010-1584CI "

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