NRSG 1200 CATH LAB CARE
SLCC Med Surg Videos・22 minutes read
Angiograms are tests involving inserting a catheter to identify obstructions in coronary arteries, with nursing care before and after including obtaining consent, monitoring vital signs, and managing medications and complications. Post-procedure care involves checking for bleeding, monitoring vital signs, and assessing affected limbs for potential issues like reocclusion or ischemia.
Insights
- Patients undergoing angiograms require meticulous pre-procedure care, including fasting, medication adjustments, and comprehensive blood tests to ensure safety and effectiveness.
- Post-procedure, vigilant monitoring of the insertion site, limb condition, and vital signs is crucial, alongside patient education on symptoms to report, medication management, and post-discharge instructions to promote optimal recovery and prevent complications.
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Recent questions
What is an angiogram?
An angiogram is a common medical test that involves inserting a radiopaque catheter through arteries to identify obstructions in coronary arteries.
How should patients prepare for an angiogram?
Patients undergoing an angiogram should be NPO for 8 to 12 hours, stop metformin medication, and undergo blood tests to evaluate potassium levels, kidney function, and coagulation status.
What are some nursing care considerations before an angiogram?
Nursing care before an angiogram involves obtaining informed consent, assessing patient knowledge and emotions, ensuring transportation for outpatient procedures, and prepping the angiogram site by clipping hair instead of shaving to reduce infection risk.
What post-procedure care is necessary after an angiogram?
Post-procedure care includes checking the insertion site for bleeding or hematoma, monitoring vital signs every 15 minutes initially, and ensuring appropriate bedrest based on the insertion site and procedure specifics.
What are some potential complications post-angiogram?
Patients should report any discomfort, chest pain, or limb changes post-procedure, as these could indicate complications like reocclusion or ischemia. Fluid intake is crucial to aid in dye clearance and prevent nephrotoxicity, with oral fluids encouraged alongside IV fluids.
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Summary
00:00
Essential Care for Angiogram Patients
- Angiograms are common tests that involve inserting a radiopaque catheter through arteries to identify obstructions in coronary arteries.
- Different insertion sites for angiograms include the right femoral artery, left femoral artery, radial artery, and brachial arteries.
- Procedures associated with angiograms include PTCA (percutaneous transluminal coronary angioplasty) and stent placement to support vessel walls.
- Nursing care before an angiogram involves obtaining informed consent, assessing patient knowledge and emotions, and ensuring transportation for outpatient procedures.
- Patients undergoing angiograms should be NPO for 8 to 12 hours, and allergies to iodine or seafood may not necessarily indicate a reaction to the dye used.
- Patients on metformin should stop the medication before and after the procedure to reduce the risk of lactic acidosis and nephropathy.
- Blood tests before an angiogram include BMP, CMP, APTT, PT, INR, and CBC to evaluate potassium levels, kidney function, and coagulation status.
- Medications like acetylcysteine and continuous IV bicarbonate drip may be given to protect the kidneys during an angiogram.
- Prepping the angiogram site involves clipping hair instead of shaving to reduce infection risk, marking pulses for monitoring, and obtaining vital signs.
- Post-procedure care includes checking the insertion site for bleeding or hematoma, monitoring vital signs every 15 minutes initially, and ensuring appropriate bedrest based on the insertion site and procedure specifics.
17:25
Post-procedure care for limb circulation issues.
- While using pressure devices, it's crucial to monitor pulses frequently to ensure circulation is not compromised.
- Nurses should check the dressing for bleeding, palpate the site for pain and swelling, and compare affected and unaffected limbs for consistency.
- Bleeding may cause the affected limb to feel firmer, with possible lumps at the site, requiring manual pressure or clamping if bleeding persists.
- Observing affected limbs for pain, numbness, tingling, or lack of motion is essential to detect potential issues like hematoma or artery obstruction.
- Monitoring color, temperature, and pulses in affected limbs is vital, with any abnormalities needing immediate reporting.
- Patients should report any discomfort, chest pain, or limb changes post-procedure, as these could indicate complications like reocclusion or ischemia.
- Fluid intake is crucial post-procedure to aid in dye clearance and prevent nephrotoxicity, with oral fluids encouraged alongside IV fluids.
- Patients may receive new medication orders post-procedure, such as aspirin, Plavix, heparin, or beta blockers, to prevent clotting and manage heart health.
- Patients should be assisted in feeding if needed, instructed to report any symptoms like chest pain or bleeding, and follow specific post-procedure care instructions.
- Discharge instructions should include guidance on activity restrictions, wound care, and when to seek medical help for any concerning symptoms or complications.
34:32
Medication details, side effects, dosage, monitoring importance
- Explain medication details, side effects, dosage, and required monitoring, including lab visits.
- Emphasize the significance of follow-up care with the physician and ensuring a scheduled appointment.
