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  • 8.1 MI, Angina, CAD - Cath Lab (84) 2023-10-23 23 - 26 - 21 2023-12-21 19 - 45 - 01

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    This document provides information about cardiac catheterization procedures and complications after a myocardial infarction (MI). It discusses risks associated with contrast dye used in catherization like angiograms and angioplasty if the patient has kidney issues or iodine allergies. It also notes to check pulses after the procedure and watch for diminished pulses as a priority issue. It then summarizes acute complications after an MI like cardiogenic shock, arrhythmias, and chronic issues like heart failure. Medications like nitroglycerin are discussed for stable angina versus unstable angina. Placement and storage of nitroglycerin patches is outlined as well as signs it may need to be replaced.

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    8.1 MI, Angina, CAD - cath lab[84] 2023-10-23 23_26_21 2023-12-21 19_45_01

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    This document provides information about cardiac catheterization procedures and complications after a myocardial infarction (MI). It discusses risks associated with contrast dye used in catherization like angiograms and angioplasty if the patient has kidney issues or iodine allergies. It also notes to check pulses after the procedure and watch for diminished pulses as a priority issue. It then summarizes acute complications after an MI like cardiogenic shock, arrhythmias, and chronic issues like heart failure. Medications like nitroglycerin are discussed for stable angina versus unstable angina. Placement and storage of nitroglycerin patches is outlined as well as signs it may need to be replaced.

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    © All Rights Reserved
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    8 views1 page

    8.1 MI, Angina, CAD - Cath Lab (84) 2023-10-23 23 - 26 - 21 2023-12-21 19 - 45 - 01

    Uploaded by

    tdp48ctygs
    This document provides information about cardiac catheterization procedures and complications after a myocardial infarction (MI). It discusses risks associated with contrast dye used in catherization like angiograms and angioplasty if the patient has kidney issues or iodine allergies. It also notes to check pulses after the procedure and watch for diminished pulses as a priority issue. It then summarizes acute complications after an MI like cardiogenic shock, arrhythmias, and chronic issues like heart failure. Medications like nitroglycerin are discussed for stable angina versus unstable angina. Placement and storage of nitroglycerin patches is outlined as well as signs it may need to be replaced.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    MI, Angina, CAD II

    Med Surg: Cardiac

    Cath Lab
    C–Contrast = Kills Kidneys “Angioplasty, Angiogram, CABG”
    A–Allergy to Iodine (warm flushing normal)
    B–Bleeding–direct manual pressure (above site)
    NO=heparin, warfarin, ASA, clopidogrel
    C–Creatinine “Kidney” (normal: 0.9 - 1.2)
    REPORT: Creatinine Over 1.3 & Urine below 30 ml/hr
    STOP Metformin 48 hrs (before/after)
    C–Can’t feel pulses (Pulses = Perfusion O2)
    Diminished pulses (4-12 hrs post-procedure) MAX
    PRIOITY:
    Non palpable pedal pulse AFTER = CALL HCP (Dr.)
    Key words: “cool leg, pulse non palpable,
    present only with doppler US.

    Complications After MI

    ACUTE: (weeks after)


    Cardiogenic Shock (severe hypotension)
    V fib/V tach (no pulse) = DEADLY
    Defibrillate=Don’t have a pulse
    Cardioversion=Count a pulse *synchronize*
    CHRONIC: (lifetime)
    Heart failure “Heavy Fluid”
    Rapid weight gain (Water Gain),
    Worsening crackles (fluid in lungs “pulmonary, edema”)
    Sudden edema (JVD, peripheral edema “+1 pitting”)
    #1 Priority–IV Diuretics–Furosemide, Bumetanide “dried”
    (NOT isosorbide)

    NO viagra “-afil” Sildenafil = DEATH!


    NitrOglycerin NORMAL ADVERSE EFFECT:
    HA=Normal Side Effect
    Hypotension=Adverse effect
    O2 to Heart
    (need slow position changes)

    PILL (or spray) Nitro Patch (Transdermal nitro patch)


    S–Stable Angina U–Unstable Angina
    S–Safe Angina U–Unsafe Angina
    S–Stops when activity STOPS (Stress Induced) U–Unrelieved with rest /Unpredictable (anytime)
    *Take Before strenuous activity 1 x daily NOT PRN
    GOAL: 1 patch at a time NOT 2 patches
    NO chest pain=Daily activities YES Shower is ok
    “comb hair, fix hair, get dressed, make up, making bed etc.” LOCATION: Rotate locations Daily
    TAKING MED: “Clean, Dry, shaven area” teach patient to wash hands
    CALL 911: PAIN 5 min. After 1st dose. after application
    3 doses max x 5 min apart Upper Body (subclavian, arm, upper chest)
    NO SWALLOW–SL under NOT: hairy, scarred, burned, callous
    STORAGE: NOT BROKEN SKIN
    NO LIGHT–NO HEAT *TEST TIP: Patch fall off? (Over 1 hour ago)
    NOT: pill box, car, plastic bag, pocket Take nitro (pill/spray) New patch can take 40–60 min.
    YES: purse ok *Nurses wear gloves! Will cause MAJOR HA if it comes
    *Replace every 6 months into contact with skin!

    0.4 mg

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