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Nursing Management
Procedure
Patient Education
100
What peripheral pulses should the nurse monitor post-procedure?
What is the femoral, popliteal, dorsalis pedis and posterior tibial.
100
Your patient asks if they can have a snack prior to the procedure, what is your answer?
What is no.
100
Patient may experience what prior to the procedure that may require explanation and education
What is severe anxiety
200
Why does the patient need to consume large amounts of fluid post-procedure?
What is to flush out the contrast dye to prevent contrast- induced nephropathy.
200
What are some medications given prior to the procedure?
What is local anesthetic, antihistamines, corticosteroids, heparin and nitroglycerine
200
Do patients experience pain during this procedure?
What is no, pain is uncommon.
300
What are the 3 methods for bleeding control at the femoral site?
What is manual pressure, external mechanical compression and physician placed arteriotomy closure device
300
What are the two most common side effects during the procedure?
What is bradycardia and hypotension
300
Patients need to report what significant side effects post-procedure?
What is nausea and chest pain
400
How many hours should the patient remain flat for post-procedure?
What is a minimum of 6 hours
400
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
400
Post procedure patients need to do what?
What is drink large amounts of fluids
500
What are S/S that your patient is experiencing an acute arterial occlusion (clot)?
What are changes in color, temperature, pain, or paresthesia in the affected limb.
500
If bradycardia and hypotension occur what is given to counteract the effects?
What are IV fluids, atropine or a pacer
500
The IV fluid rate needs to be increased to what post-procedure?
What is 100mL/hour