NURS 4390 Lecture Notes - Lecture 11: Percutaneous Coronary Intervention, Coronary Catheterization, Angiography
3 May 2020
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St elevation in all the leads (v leads), extensive anterior wall mi. Md requests that you prepare paul for heart catheterization/coronary angiogram. Percutaneous coronary intervention iodine contrast for angiograms, can be harmful for kidneys, check for kidney function shellfish contains iodine, check for shellfish allergy. Once revascularized restored blood flow to myocardiocytes. Monitor site for bruising, bleeding, hematoma: patient will be on blood thinners during operation. Check distal pulses, circulation: capillary refill, temperature, pulses, color. Monitor for flank pain blood will pool in the patients back if done in the femoral artery. Paul is transferred to ccu for monitoring after a femoral approach pci. Triple vessel disease noted during coronary angiogram. If htn at risk for blowing suture lines. If hypotensive blood cooling, sign of shock. Telemetry for cardiac arrhythmias: a-fibs common after worsen outcomes. Chest tube management: monitor output: 200ml an hour = too much output.
