Application Based on Nursing Care: Case Study

Abstract

Background: Bleeding is a common complication in post-Percutaneous Coronary Intervention (PCI) patients from the femoral route due to the use of strong anticoagulant and antiplatelet therapy. To prevent post-PCI bleeding in the ICCU, mechanical pressure was applied using a 1.5 kg sand pillow for 6 hours. This study aims to describe the application of mechanical pressure using a 2.3 kg sand pillow for 2 hours in post-PCI patients.
Method: This study is a summary of case presentations and interventions in two post-PCI patients through a nursing care approach.
Results: After 1 day of implementing the intervention in both patients, there were no incidents of bleeding and hematoma incidents in patients who used 2.3 kg sand pillow pressure for 2 hours. However, there was a difference in the level of comfort, the legs did not feel numb and sore, while patients using 1.5 kg sand pillow pressure for 6 hours, the legs felt numb, sore and painful in the groin.
Conclusion: It was concluded that the application of 2.3 kg sand pillow pressure for 2 hours in post PCI patients can prevent complications and increase patient comfort.