PCI PTCA Nursing Management Pre-op & Post-op Questions and Answers
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Module
Pci
Institution
Pci
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...
PCI PTCA Nursing Management Pre-op
& Post-op Questions and Answers
What is PCI? - answer 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? - answer Percutaneous Translumenal Coronary Angioplasty.
It can be with a Stent or a Balloon
Non-surgical alternative to CABG
What are the indications for PTCA? - answer Patients with angina s/s less than 1
year (lesions are softer)
Myocardial ischemia
Who are not candidates for PTCA? - answer Lesions in the left main coronary artery
due to vasospasm
What are the potential complications of a PTCA? - answer 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? - answer Antiplatelet
drugs
Low dose heparin
What are some important things to monitor after a PTCA? - answer 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
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