02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Included In This Lesson
Outline
Nursing Points
General
-
- Cardiac Catheterization
- Diagnose coronary artery disease
- View cardiac function
- Intervene and treat CAD
- Right side
- Assess pressure in right ventricle, atrium, and pulmonary artery
- Determine oxygen level
- View left to right shunt
- Evaluate cardiac output
- View tricuspid and pulmonic valves
- Electrophysiology
- Left Side
- View coronary arteries
- Find any lesions
- Intervene as needed
- Percutaneous Coronary Intervention (
PCI) - Percutaneous Transluminal Coronary Angioplasty (PTCA)
- Stents (with or without drugs) -> Educate patient on continuing aspirin and Plavix
- Extraction Atherectomy
- Percutaneous Coronary Intervention (
- Assess pressure in left ventricle
- View mitral and aortic valves
- View coronary arteries
- Prevent nephropathy induced by contrast
- Low dose
- Hydrate with NS
- Mucomyst day before (vasodilating)
- Hold drugs that affect kidneys (24 hours before procedure)
- Some antibiotics
- Cyclosporine
- NSAIDS
- Metformin
- Post-procedure
- Pressure 20-30 minutes
- Vitals
- Assess legs (pulse checks, temperature, color, pain)
- Assess site for bleeding internal and external
- How often? -> q 15 min. for one hour, q 30 min. for one hour, then hourly
- Bedrest and leg straight for 2-4 hours after procedure
- Complications
- Hematoma
- Thrombosis
- Retroperitoneal bleed
- MI
- CVA
- Death
- Renal dysfunction
- Acute Coronary Syndrome
- Heart isn’t being perfused with oxygen
- Treat immediately
- 20 minutes causes irreversible injury
- Unstable angina
- Non-stemi
- Stemi (candidates for reperfusion therapy)
- Cardiac Catheterization
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System