cardiac cath - post procedure
• monitor:
◦ bleeding & bruising / hematoma
◦ temp, color, cap refill on toes
◦ peripheral pulses
◦ vitals
• keep IMMOBILIZED -KEEP LEG AND HIP EXTENDED
• bed rest 2-6 hrs
LAB VALUES
Cardiac enzymes
• CK-MB - 0%
◦ Clean Kill - Must Be Zero
• myoglobin: less than 90
• Troponin T: less than 0.1
• Troponin I: less than 0.03
Lipids
• cholesterol: under 200
• LDL: under 130
• HDL: greater than 60
• triglycerides: 50 - 160
CBC
• RBC: 4.2 - 6.1
• platelets: 150,000-400,000
• hemoglobin: 12-18
◦ below 12 = worrisome
• hematocrit: 37-52
COAGS
• PTT: 25-40 secs
◦ ON HEPARIN: 45-80 secs
• PT: 11-13.5 secs
◦ ON WARFARIN: 17-26 secs
• INR: 0.8 - 1.1
◦ ON WARFARIN: 2 - 3
Other lab values
• D-dimer: less than 0.4
• BNP: under 100
◦ greater than 100 = heart failure
• CRP: less than 0.9
◦ risk for CVD: 3 or higher
, Central Venous Pressure catheter (CVP)
• high CVP = VOLUME OVERLOAD
◦ Signs: edema, weight gain, tachypnea, crackles, bounding pulse
• High CVP = Too much fluid = Volume overload = SWELL
◦ SWELL
‣ S: Shortness of breath (tachypnea, crackles)
‣ W: Weight gain
‣ E: Edema
‣ L: Loud pulses
‣ L: Lung congestion (crackles)
Pulmomary artery catheter (PAC)
• What is used to measure pressure in the heart and lungs and is used to monitor heart
function?
◦ = pulmonary artery catheter (PAC)
• Which side of the heart is it inserted on?
◦ = right
• It can also be used to put fluid or meds into the heart
CAD
• CAD affects the CARDIAC system
• symptoms:
◦ chest pain (angina)
◦ fatigue / weakness
◦ light headedness
◦ pain in arms or shoulder
◦ shortness of breath
(dyspnea)
◦ diaphoresis
◦ ECG changes
• CARDIAC
◦ C: chest pain
◦ A: arm pain
◦ R: reduced energy
◦ D: dyspnea
◦ I: irregular feelings (faint, light headed)
◦ A: abnormal ECG
◦ C: cold sweat (diaphoresis)
• risk factors:
◦ high cholesterol
◦ high triglycerides
◦ smoking
◦ HTN
◦ obesity
◦ family hx
• prevention
◦ control cholesterol - diet & statins
◦ diet: low fat, high fiber
◦ physical activity
• monitor:
◦ bleeding & bruising / hematoma
◦ temp, color, cap refill on toes
◦ peripheral pulses
◦ vitals
• keep IMMOBILIZED -KEEP LEG AND HIP EXTENDED
• bed rest 2-6 hrs
LAB VALUES
Cardiac enzymes
• CK-MB - 0%
◦ Clean Kill - Must Be Zero
• myoglobin: less than 90
• Troponin T: less than 0.1
• Troponin I: less than 0.03
Lipids
• cholesterol: under 200
• LDL: under 130
• HDL: greater than 60
• triglycerides: 50 - 160
CBC
• RBC: 4.2 - 6.1
• platelets: 150,000-400,000
• hemoglobin: 12-18
◦ below 12 = worrisome
• hematocrit: 37-52
COAGS
• PTT: 25-40 secs
◦ ON HEPARIN: 45-80 secs
• PT: 11-13.5 secs
◦ ON WARFARIN: 17-26 secs
• INR: 0.8 - 1.1
◦ ON WARFARIN: 2 - 3
Other lab values
• D-dimer: less than 0.4
• BNP: under 100
◦ greater than 100 = heart failure
• CRP: less than 0.9
◦ risk for CVD: 3 or higher
, Central Venous Pressure catheter (CVP)
• high CVP = VOLUME OVERLOAD
◦ Signs: edema, weight gain, tachypnea, crackles, bounding pulse
• High CVP = Too much fluid = Volume overload = SWELL
◦ SWELL
‣ S: Shortness of breath (tachypnea, crackles)
‣ W: Weight gain
‣ E: Edema
‣ L: Loud pulses
‣ L: Lung congestion (crackles)
Pulmomary artery catheter (PAC)
• What is used to measure pressure in the heart and lungs and is used to monitor heart
function?
◦ = pulmonary artery catheter (PAC)
• Which side of the heart is it inserted on?
◦ = right
• It can also be used to put fluid or meds into the heart
CAD
• CAD affects the CARDIAC system
• symptoms:
◦ chest pain (angina)
◦ fatigue / weakness
◦ light headedness
◦ pain in arms or shoulder
◦ shortness of breath
(dyspnea)
◦ diaphoresis
◦ ECG changes
• CARDIAC
◦ C: chest pain
◦ A: arm pain
◦ R: reduced energy
◦ D: dyspnea
◦ I: irregular feelings (faint, light headed)
◦ A: abnormal ECG
◦ C: cold sweat (diaphoresis)
• risk factors:
◦ high cholesterol
◦ high triglycerides
◦ smoking
◦ HTN
◦ obesity
◦ family hx
• prevention
◦ control cholesterol - diet & statins
◦ diet: low fat, high fiber
◦ physical activity
