Complications & Post Procedure Flashcards
Non- cancerous SVC obstruction is usually caused by?
Indwelling pacer leads
Drop in blood pressure during ablation may be indicative of what complication?
Cardiac Tamponade
When does pericardial effusion become pericardial tamponade
When cardiac compression begins
How should a patient be positioned for pericardiocentiesis?
Propped up about 45 degrees
Where is the pericardiocentesis puncture site?
Subxyphoid
During pericardiocentesis how long do you continue to aspirate fluid?
Until you can no longer aspirate fluid
Low atrial blood pressure, distended neck veins, and distant heart sounds are indicative of what?
Pericardial tamponade
What is the earliest symptom of pericardial tamponade?
chest pain
What kind of guidances are used during a pericardiocentesis?
Fluoro & 2 dimensionale echo
Pallor, Fall in BP, tachycardia, and abdominal pain, and back pain are all symptoms of what?
Retroprtitoneal hematoma
What is a comfort measure for back pain after post venous sheath removal?
Pillow under knees
What is the most common heart chamber to be perforated?
Right Ventricle
Painful pulsatile mass below the skin at the femoral artery puncture site. Femoral artery bruit can be heard with a stethoscope. What is the most likely complication?
False aneurysm
What do you need to do in order to rule out a pneumothorax prior to discharge following PPI?
Chest X-ray
What are ways to prevent atria-esophageal fistula furring PVI?
Mark with electroanatomical mapping systems, monitor internal temp with probe, Mark with contrast
What are the two most common complications for PVI?
PV Stenosis and Cardiac Tamponade
What is the chief signs of Phrenic nerve damage?
Dyspnea
Do most patients recover from phrenic nerve damage?
Yes
Phrenic nerve damage is most common when ablating where?
Right superior PV
Cough, SOB, palpitations are all signs of what?
Phrenic nerve damage
Where to hold pressure for a venous sheath pull?
on the puncture site with 2-3 fingers
Where do you hold pressure for an arterial sheath pull?
Just above the site with 2-3 fingers
If you have a venous sheath and an arterial sheath which do you pull first?
Arterial Sheath
What are the typical instructions post PPI?
Dont get incision site wet, Dont lift heavy objects, lay flat
What are post procedure instructions after a catheterization?
Keep head down, hold groin when coughing, keep puncture leg straight
What things should be included in a hand off to the nurse?
Arrhythmias induced, foley urine output, meds administered, Baseline vitals
Cool pale skin, low and dropping BP, Nausea, Bradycardia are all signs of what?
Vasovagal response
Venous Trama, Vein Dissection, Contrast- induced nephropathy (rise in serum creatine) are all signs of what?
Complications oc CS venograph
