Nursing Management
Name 2 peripheral pulses the nurse should monitor post-procedure?
What are the femoral, popliteal, dorsalis pedis and posterior tibial.
True or False: Coronary Artery disease be completely avoided?
What is False
What might a patient experience prior to the procedure that may require explanation and education.
What is anxiety, fear, or confusion.
Your patient is scheduled for a procedure that is delayed for another 3 hours. They state they are hungry and asking for something to eat. How do you respond?
What is you must remain nothing by mouth
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
Name two significant side effects patients need to report post-procedure?
What is nausea and chest pain, headache, palpitations, vomiting, dob
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
Why would you include a blood type and screen pre-procedure?
What is to have blood on hold in the event of emergency.
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
Name two ways you can reduce the risk factors for Coronary Artery Disease?
What is smoking cessation, control hypertension, and high cholesterol, low sodium diet, 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
Name four possible complications of CABG.
What is hemorrhage, infection, bradycardia, hypotension
Name one of the 5 Ps (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
A patient should maintain a blood pressure reading value lower than this while taking hypertensive medication.
What is to maintain blood pressure under 140/90 with medications.