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NURA 2500 Test 4 Cardiac Surgery, Pacemakers, Dic Study Set
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NURA 2500 Test 4 Cardiac Surgery,Pacemakers, Dic Study Set
artherectomy - Answer surgical removal of plaque buildup from the interior of an artery
or cardiac vessel
Stent - Answer placement of a mesh-wire device to hold an artery open and prevent
restenosis
angioplasty (percutaneous transluminal coronary angioplasty PTCA) - Answer this
involves inflating a balloon to dilate the artery and plaque which widens the arterial
lumen
MI, CABG alternative, dilate coronary arteries - Answer what are the indications for PCI?
90 min - Answer what is the door to balloon goal in artery occlusion
bridge to therapy - Answer a PCI can be a _________ to give enough time for a pt to get a
CABG
consent, NPO, premed, assess: understanding of procedure, allergies, renal function -
Answer what are the pre-procedure nursing interventions for PCI?
short acting anti platelet, midazolam - Answer what are some examples of premeds for
PCI?
conscious - Answer what type of sedation is used for PCI (teaching)
lidocaine at site, will burn - Answer what is the teaching for the local anesthetic for PCI?
groin, radial (wrist) - Answer where is the typical location for a PCI incision?
Occasional?
flushed, warm - Answer what is the teaching for IV contrast for PCI?
keep leg straight - Answer what is the positioning teaching for post PCI?
4-6 hours - Answer how long must a post PCI pt keep leg straight?
midalozam, fentanyl, heparin, bivaliradin, nitro, diltiazem - Answer what are the PCI
intraprocedure meds?
chest pain (can cause MI); VS, heart rhythm - Answer what is monitor during PCI?
resuscitation equipment, emergency meds - Answer what supplies are needed for PCI
intraprocedure?
, dysrhythmia - Answer this can happen in PCI because there is sudden reperfusion to
previously ischemic tissue
Q15 min x 4, Q30 min x 2, Q1H x 4 - Answer how often are VS checked post PCI?
insertion site, SS thrombosis, UO, hydration, vagal response, cardiac, contrast dye
reaction - Answer what is monitored in post PCI?
supine, leg straight - Answer what is the positioning for post PCI?
antiplatelet, thrombolytic, analgesic, anxiolytic, - Answer what meds are given post PCI?
admin fluids, assist with sheath removal, apply pressure, pressure dressing - Answer
what are the nursing actions post PCI?
distal to site, 6 Ps - Answer where and what is monitored for SS of thrombosis in post
PCI?
ASA and clopidogrel - Answer what meds are given post PCI to prevent clot and
restenosis?
hypotension, bradycardia - Answer what are the vagal responses of PCI?
artery dissection - Answer this complication of PCI is the perforation of an artery by
catheter causing severe hypotension, tachycardia
cardiac tamponade - Answer this complication of PCI is the accumulation of fluid in the
pericardial sac causing muffled heart tones, hypotension and JVD
hematoma - Answer this complication of PCI will be found near the insertion site
chills, fever, rash, tachycardia - Answer what are the SS of allergic reaction to contrast
dye (complication of PCI)
keep straight, apply pressure, notify MD - Answer what are the NI for external bleeding
(complication of PCI)
embolism - Answer this complication of PCI is plaque traveling to brain, heart, lungs
VS, chest pain, pulse ox, neuro, resp - Answer what is monitored to check for post PCI
embolism?
retroperitoneal bleeding - Answer this complication of PCI is a puncture in the femoral
artery causing bleeding into the peritoneum
restenosis - Answer this complication of PCI is monitored for by checking the EKG
hypotension - Answer call the MD if this occurs along with EKG changes for suspected
restenosis
AKI - Answer this complication of PCI may happen because contrast dye is nephrotoxic
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