Nursing Management
Name 2 peripheral pulses the nurse should monitor post-procedure?
What are the femoral, popliteal, dorsalis pedis and posterior tibial.
Can Coronary Artery disease be completely avoided?
What is NO
Your patient asks if they can have a snack prior to the procedure, what is your answer?
What is no.
What a patient experiences prior to the procedure that may require explanation and education.
What is severe anxiety, or fear
How many hours, post procedure, should the patients extremity remain extended?
What is a minimum of 4-6 hours as prescribed.
What are modifiable risk factors?
What is a Topic that nurses can teach that patients can change
Name one type of medication that is given, or could be given, prior to the procedure?
What is local anesthetic, antihistamines, corticosteroids, heparin and nitroglycerine
Patients need to report what significant side effects post-procedure?
What is nausea and chest pain
When prescribed, name one way to control bleeding at the femoral site, when additional pressure is required?
What is sandbag, or compression device
Surgery performed when no other procedures can will do to correct the occluded arteries?
What is a Coronary Artery Bypass Grafting
What are the two most common side effects during the procedure?
What is bradycardia and hypotension
While lying in bed post procedure is the client allowed to turn from side to side?
What is Yes.
If not contraindicated name one reason why fluids are encouraged post procedure?
What is to excrete the dye, replace fluid loss
How can you reduce the risk factors for Coronary Artery Disease? Name 2 ways.
What is Quit smoking, control conditions like high blood pressure, and high cholesterol, low sodium, stay physically active, and maintain a healthy weight.
Why are patients asked to cough during the procedure?
What is to help move the contrast quickly and minimize vagal effects on the heart rate and blood pressure
What would be an important fact to include when teaching a patient about exercise?
Avoid exercise in cold weather because it causes vasoconstriction and decreases oxygen to the heart.
Name 1 of the 5 P's (signs/symptoms) that your patient is experiencing an acute arterial occlusion (clot)?
What is Pulselessness, pallor, pain, paresthesia, paralysis
Name 3 causes of Coronary Artery Disease?
What are High blood pressure, high cholesterol, lack of exercise, obesity, smoking, or even stress.
If bradycardia and hypotension occur name one treatment given to counteract the effects?
What are IV fluids, atropine or a pacer
What should the CAD patients blood pressure be lower than with medication?
What is to maintain blood pressure under 140/90 with medications.