Cardiac catheterization – Flashcards

Ck allergies Pt understanding of procedure NPO 6 hrs Ck labs PT, INR, PTT, CBC, electrolytes, BUN, Creatnine Ck radial/pedal pulses for baseline Make sure pt can be flat during procedure

bleeding from cath, insertion site, thromboemboli, PE, stroke, MI, arrhythmia, renal failure secondary to administration of dye

Significant changes in vital signs, chest pain, loss of distal pulses, bleeding or fever

During procedure: you may feel palpitations or flutter from myocardial stimulation When dye is injected you may feel flushed or need to void. During procedure you will be asked to cough or take a deep breath and hold. Gives physican better visualization & clears the dye from arteries.

Nurses will check insertion site frequently & pulses distal to site every 15 min for 1 hr then every 30 min for 2 hrs. Nurse will ck for bleeding, formation of a hematoma, color, temp, pain, numbness If insertion site is groin, bed rest 6 hrs-hob 30 degrees-leg straight 6 hrs Fluids will flush out the dye

Remove dressing after 24 hrs and keep site covered with band aide for one week. Shower after 24 hrs no tub bath for 1 wk Activity: no heavy lifting over ten lbs for 1 week Reasons to call dr: fever, bleeding, vomiting, chest pain

Hold 48 hrs interacts with dye increases level of dye

Loc, cardiovascular, respirations

Versed, local

Call physican

Have pt void to clear dye

Call physican

Every 15 minx4 Every 30 minx2 Every 60 minx4 Distal pulses, bleeding