PCI Care Questions and Answers
What is PCI (Percutaneous Coronary Intervention)
Is open up the arteries to restore blood flow. This includes all interventions such as PTCA (angioplasty) and stents
What types of PCI are there?
Emergent
Urgent
Scheduled
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PCI Care Questions and Answers
What is PCI (Percutaneous Coronary Intervention) - answer Is open up the arteries
to restore blood flow. This includes all interventions such as PTCA (angioplasty) and
stents
What types of PCI are there? - answer Emergent
Urgent
Scheduled
What is the timeframe for emergent PCI?
Which types of heart condition(s) is this for?
How long do you stay in the hospital? - answer Straight to cath lab. GOAL is to open
blocked artery within 90 minutes of arrival to facility. (Door to balloon time)
First line of treatment with confirmed MI; STEMI
1-3 days
What is the timeframe for urgent PCI?
Can you wait?
Which types of heart condition(s) is this for? - answer Requires prompt intervention;
within 12-72 hrs
May prolong to optimize pt condition.
NSTEMI and unstable angina
Nurse will establish IV access, draw labs, 12 lead EKG (should have already been done
to confirm STEMI), possibly prep groin sites
Do you give thrombolytics to PCI patients?
What is the timeframe of administering thrombolytics?
Thrombolytic of choice? - answer ^Only if the facility the pt went to does not have
PCI capabilities.
^Administer within 30 minutes of arrival.
^ TPA (true clot buster)
URGENT PCI Nursing Care - answer Start heparin gtt while waiting to go to cath lab
Push IV fluids pre/post op. Flush contrast out of kidneys
Watch kidney function, especially if pt is CKD or CHF
Hold metformin and resume 48 hrs later (possibility of causing lactic acidosis and acute
nephropathy)
Contrast preperation: corticosteroids, benadryl, sodium bicarbonate to help with allergic
reactions
NPO after midnight (6-12 hrs)
*Get baseline kidney function established for comparison after interventions
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