Cardiac catheterization (2022/2023) Rated A+

Cardiac catheterization (2022/2023) Rated A+ Prior to cardiac cath 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 Complications after cath bleeding from cath, insertion site, thromboemboli, PE, stroke, MI, arrhythmia, renal failure secondary to administration of dye Notify physician Significant changes in vital signs, chest pain, loss of distal pulses, bleeding or fever Client teaching 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. Post-cath 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 Discharge instructions 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 Glucophage Hold 48 hrs interacts with dye increases level of dye Assess Loc, cardiovascular, respirations Anesthesia for cath Versed, local B4 procedure if clotting time not okay Call physican After procedure Have pt void to clear dye If chest pain Call physican Assess pt Every 15 minx4 Every 30 minx2 Every 60 minx4 Distal pulses, bleeding