Cardiac Catheterization Flashcards

1
Q

Cardiac Catheterization

A
  • insertion of catheter into the heart
  • contrast medium is injected
  • RCA, LAD, Ventricles - assess muscle fx
  • Done under fluoro
  • insertion in groin or radial artery
  • advanced up to the heart
  • incision in groin
  • dye injected
  • will discover abnormalities and occlusions
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2
Q

What does the Card. Cath Test tell us?

A

Evaluates:

  • heart valves
  • heart fx
  • blood supply
  • abnormalities
  • ventricular aneurysms
  • cardiac enlargement
  • evaluates need for open heart sx
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3
Q

So what can be done?

A
  • PCI
  • Angioplasty
  • Stent Placement
  • Atherectomy
  • all can correct the problem by opening up the artery
  • all require the patient to be heparinized
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4
Q

Angioplasty

A

-plaque is mashed against inner wall

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5
Q

Stent Placement

A

-scaffold placed and enlarged

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6
Q

Atherectomy

A

-cuts and pulverizes

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7
Q

Closing the hole

A
  • direct pressure
  • suture
  • angio-seal
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8
Q

Complications

A
  • complication rate (1 in 1,000 to 1 in 500)
  • arrhythmias
  • cardiac tamponade
  • anaphylaxis
  • hematoma
  • hypotension
  • hemorrhage
  • stroke or MI
  • kidney damage
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9
Q

Who’s at risk?

A

Anyone presenting to ED with chest pain & EKG changes

Those with known CAD and chest pain

Those with known cardiac hypertrophy or cardiomyopathy

Those with positive MI or unstable
angina

Diabetics

Hypertension

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10
Q

Pre-operative

A
  • NPO
  • Informed consent
  • Teaching (positioning, allergies)
  • Dye
  • Cough
  • Pain/Pressure
  • Sedation
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11
Q

Post-operative

A
  • flat in bed
  • hydration (flushes dye)
  • VS q15 minutes
  • Site and Pulse assessment q15m (possible bleeding or hematoma)
  • same day procedure
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12
Q

Discharge instructions

A

Patient Education:

  • avoid heavy lifting
  • avoid vigorous exercise
  • small bump/bruising
  • notify MD: pain/swelling at insertion site, chills/fever, pain/color change to extremity
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13
Q

Nursing Diagnoses

A

Impaired skin integrity

Risk for infection

Fluid volume deficit / overload

Knowledge deficit

Fear / Anxiety

Risk for acute pain

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