CONGRESS ABSTRACT

Coronary angiography consists of selective angiography of the coronary arteries obtained invasively. Coronary angioplasty (PTCA) consists of the mechanical reperfusion of the coronary arteries via a stent in patients with acute myocardial infarction (AMI). How is a patient who has undergone angioplasty surgery managed from a nursing point of view? In the immediate post-operative period the patient is transferred from the operating room to the inpatient department, subsequently the electrocardiogram is performed and the vital parameters are recorded, immediately afterwards the patient will be subjected to cardiac monitoring and must maintain bed rest. The patient undergoing angioplasty has mechanical compression on the right radial artery (in most cases) which will need to be managed by the nurse. Radial compression is necessary to allow the radial artery to heal the wound caused during the angioplasty procedure. The nurse will have to manage the compression of the radial artery by loosening it two hours after the end of the operation; subsequently, after two hours have passed since the compression has been loosened, it can be removed, after the wound has been carefully assessed by the nurse, there must therefore be no moaning present and the radial pulse must be appreciable. After 6/8 hours the post-PTCA blood sample must be performed, which includes the following blood tests: creatinine and troponin. The patient will have to maintain cardiac monitoring for a few days, he will begin to mobilize, and control blood tests will be performed in the following days. The role of the nurse has a great importance in terms of educating the patient on a healthy lifestyle once discharged. It is important to correctly explain to the patient what interventions to adopt to achieve a healthy lifestyle.