Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Nursing care to the person with heart attack: arterial vascular access management |
|---|---|
| Name | Manganelli Simona |
| Supervisor(s) | Rossi Rosario |
| Academic Year | 2015/16 |
| Thesis type | Non research thesis |
Abstract
The myocardial infarction is an artery’s partial or total clamp that leads a myocardial tissue necrosis. The necrosis is caused by a disequilibrium between oxygen demand and supply. The myocardial infarction is an important clinical condition and it represents one of the first death’s cause in the occidental word. The election’s treatment is PTCA (Percutaneous Transluminal Coronary Angioplasty). This procedure entails coronary vessel’s unblocking through a stent placement or intracoronary balloon inflation, ensuring the normal blood flow within the myocardial tissue. The vascular accesses most widely used for the PTCA are the radial and the femora artery. Each of this sites have advantages and disadvantages both as regard the patient comfort as the nursing. The radial access utilization has proved to be optimal in complications’ reduction, in improving the patient autonomy recovery time, in reducing the days of hospitalization and in the nursing workload’s decreasing. The femoral artery, instead, is a large-caliber vessel, and this makes the femoral access preferential for complex procedures or complicated by events such as the cardiogenic shock, the placement of a IABP and in case of radial artery’s hypotonicity; it has furthermore the advantage of reducing the radiation exposition time for patient and operators.
The nurse plays a fundamental role in the early symptomatology recognition, in the assistance during PTCA, in the length of stay and in the therapeutic education pre discharge.