About Catheterization
Post Op.
CAD
Treatments
Nurses Role
100
Mainly the groin and arm (in special circumstances)
What is the insertion site for cardiac catheterization?
100
Nausea, itching, tightness of throat, SOB, chest discomfort
What are severe signs of an allergic reaction to contrast dye post procedure?
100
High fat diet, alcohol consumption, increased stress, hormone replacement therapy, increased homocysteine level, increased C-reactive protein, obesity, hypertension, smoking
What is risk factors for Coronary Artery Disease?
100
The technique of mechanically widening a narrowed or obstructed blood vessel
What is angioplasty?
100
Assess neurovascular status
What is a crucial nursing intervention after cardiac catheterization?
200
An invasive imaging procedure that allows your doctor to evaluate your heart function.
What is cardiac catheterization?
200
two to six hours
What is the length of time the patient should lie flat to prevent excessive bleeding?
200
Chest pain more intense than angina, diaphoresis, generalized weakness, SOB
What is clinical manifestations of CAD?
200
A wire mesh stainless steel tube that holds an artery open and keeps it from closing again. It becomes a permanent part of your artery.
What is a stent?
200
Avoid exercise in cold weather because it causes vasoconstriction and decreases oxygen to the heart
What would be an important fact to include when teaching patient about exercise?
300
Allergic reaction to the medication or contrast material used during the procedure, irregular heart rhythm, infection, bleeding at the catheter insertion site, continued chest pain or angina, mild to moderate skin reactions (like a sun-burn) from X-ray exposure, kidney failure, heart attack, blood clots, stroke or death, acute closure of coronary artery, emergency coronary artery bypass graft (CABG) surgery
What are possible complications of catheterization?
300
Numbness in the leg/foot or tingling in the toes
What is a sign of a serious complication that needs to be brought to the nurse's attention immediately?
300
S-T segment abnormalities; ischemia, T-wave changes, Q-wave changes; injury, disrhythmias
What is ECG changes associated with CAD?
300
Anticoagulants, aspirin and other anticlotting medicines; ACE inhibitors; beta blockers; calcium channel blockers; nitroglycerin; glycoprotein IIb-IIIa; statins
What are medicines to help treat CAD?
300
Check for bleeding at insertion site.
What is a priority nursing intervention?
400
Injected through the catheter and x-ray movies are created as this moves through the heart’s chambers, valves and major vessels.
What is contrast material?
400
Drink plenty of fluids
What is an important action the patient can take to help rid the body of contrast dye?
400
The narrowing or blockage of the coronary (heart) arteries
What is CAD?
400
Low sodium, healthy diet, exercise, quit smoking, manage stress, maintain a healthy weight
What are ways to improve CAD?
400
Maintain blood pressure under 140/90 with medication.
What is a nursing intervention for CAD patients?
500
IVP Dye/Contrast Agent Allergy, Iodine (or seafood) Allergy, Latex/Rubber Products Allergy
What are allergens that need to be verbalized to your doctor before procedure?
500
Try not to lift your head more than thirty degrees
What is a precaution the patient can take to prevent strain on the groin?
500
Cardiac catheterization
What is a diagnostic tool for CAD?
500
Creates new routes around narrowed and blocked arteries, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscle
What is CABG?
500
Maintain cholesterol less than 100 mg/dL with medication.
What is nursing intervention for patients with CAD?
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