PCI PTCA Nursing Management Pre-op & Post-op Questions and Answers

PCI PTCA Nursing Management Pre-op & Post-op Questions and Answers What is PCI? Percutaneous Coronary Intervention (PCI) Uses local anesthesia and has a faster recovery than CABG. Inflation of a ballon to dilate arterial lumen and may include stent placement Include a PTCA What is a PTCA? Percutaneous Translumenal Coronary Angioplasty. It can be with a Stent or a Balloon Non-surgical alternative to CABG Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More What are the indications for PTCA? Patients with angina s/s less than 1 year (lesions are softer) Myocardial ischemia Who are not candidates for PTCA? Lesions in the left main coronary artery due to vasospasm What are the potential complications of a PTCA? Arterial dissection (Coronary rupture) Cardiac tamponade Embolization of thrombi - peripheral ischemia Hemorrhage Dysrhythmias Vasovagal response Restenosis within 6 months What medications are used to maintain patency after a PTCA? Antiplatelet drugs Low dose heparin What are some important things to monitor after a PTCA? Monitor cardiac output Monitor VS q15 for 1st hr, q30 for 2 hrs, then q 1 - 2 hrs Monitor for restenosis Monitor EKG for ischemia Monitor F/E and I/O Monitor for bleeding Monitor peripheral pulses in affected extremity with each VS What are the signs and symptoms of restenosis after a PTCA? Chest pain Nausea Vomiting What is a vasovagal response complication after a PTCA? What should you do? Occurs during removal of groin catheter Observe for - Bradycardia - Hypotension - N/V - Diaphoresis Administer IV atropine as ordered Position in trendelenburg to promote blood return IV fluid challenge as ordered What is the ambulation protocol for patients post PTCA? Bedrest with affected extremity immobilized HOB elevated no greater than 30 degrees What are some other medications used post PTCA besides antiplatelet and anticoagulants? - Nitrates - Vasodilators - Antihypertensives