Cardiac Catheterization Questions & Answers 2024

Cardiac Catheterization Questions & Answers 2024 Definition - ANS-Procedure involving the advancement of a catheter, usually through the femoral artery into the coronary arteries. Dye may be injected to visualize bloackages, which can then be treated with percutaneuous coronary interventions. The femoral vein can also be accessed to perform other assessments of cardiac function. Coronary Angioplasty - ANS-A balloon tipped catheter is used to press the coronary blockage open to improve blood flow. Coronary Stent - ANS-A procedure performed during angioplasty that leaves a metal mesh in place as a structural support to prevent the blockage from reoccuring. Purpose - ANS-Perform angioplasty, perform PCI, obtain information about cardiac structure and blood flow, obtain blood samples, determine cardiac output. Nursing Interventions - ANS-NPO 6 hr prior, mark distal pulses, explain to the client that the procedure may leave a metallic taste in the mouth and they may feel flush, verify no allergy to shellfish or dye. After Catheterization - ANS-Monitor BP and apical pulse every 15 min for 2 to 4 hr., perform neuro assessment every 15 min for 2 hr., then every 30 min, monitor for bleeding or hematoma, apply pressure for a minimum of 15 min to prevent bleeding, keep extremity elevated for 4 to 6 hr., maintain bed rest, no hip flexion, no sitting up in bed, increase fluid intake to enhance flushing of dye