Doctor insights on:
Post Cardiac Catheterization Nursing Care
Rest and fluids: Post cardiac cath. Pts should rest and not lift greater than ten pounds or drive for 48 hrs. Drink plenty of water to flush out the dye and keep an eye on the access site for pain or color change. After 48 hrs if no isues are noted patient can resume normal activities. Meds such as glucophage or Coumadin (warfarin) special instructions for restarting will be given. Notify your dr if pain fever numbness etc. ...Read moreSee 1 more doctor answer
This is a procedure where narrow, flexible tubes are inserted into a peripheral artery through a cut in the skin, and advanced to the heart. Dye can be injected through the catheters into the arteries of the heart to look for blockages ("angiogram"), or to measure pressure within the cardiac chambers ("right heart cath"). Arteries can be opened with balloons/stents at the ...Read more
Not much: Assuming you had no radioactive infusions, you should be able to nurse as soon as you can hold the baby. Sometimes your post catheterization instructions give you activity restrictions. As long as you observe these and fell well enough to hold the baby, you should be able to nurse. ...Read moreSee 2 more doctor answers
In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?
Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more
Minimal: 1. Encourage good hydration to encourage washout of the tracer from the kidneys. Be careful against over-hydration in cardiac patients. 2. Rest - usually the patient will have undergone an exercise or pharmacologic stress test, and will be tired. 3. As in any cardiac patient, close monitoring is recommended. ...Read moreSee 2 more doctor answers
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
Call for help: Depends on the setting? In the hall call for help- code blue. Assess and start basic life support defibrillator and assess and shock if arrythmia appropriate start IV and proceed to acls protocol. In an ICU monitoring and lines in place, move to acls and beyond. ...Read moreSee 1 more doctor answer
Pulmonary atresia IVS, echo findings c/w coronary to RV sinusoids. will undergo a shunt only. Do they all deserve pre op cath and why?
Article: An intra operative pulmonary blood flow study can be performed. I found this reference which hopefully will help: http://circ.ahajournals.org/content/101/15/1826.long ...Read more
Burning sensation from left nipple status post open chest prcedure for valve repair 3 weeks status post operation?
Ask a health question... Alternatives to catheter for post operative urinary retention for male 65 ?
None reasonable: Bladder will continue to fill + has to be drained because of pain and discomfort. Intermiitent ctheterizaion is management of choice with much lower risk of UTI than an indwelling catheter. Voiding ability, if present before operation, should return and can be aided by medications. ...Read moreSee 1 more doctor answer
During cardiac MRA perfusion stress scan with injection of adenosine would they see any immediate issues? 3 weeks for a report feels like eternity!
Call your doctor: I agree this is a long time to wait. You should call your doctors office to find out if they have received the test results. ...Read more
That is o.k.: Your md is trying to make a diagnoses of the dysrrhythmia by doing the holter and that is o.K! ...Read more
Any recommendations for an excellent pulmonary critical care doctor for elderly person w/aspiration pneumonia in largo/clearwater fl? Not jacksonville
Go through local doc: Your family physician is the best link 2 help u find a medical specialist. In emergency situations, it is best 2 go through your local emergency room. If the patient is already in the hospital, u will have 2 options: go with the docs on staff, or get the patient transferred 2 another hospital. Aspiration pneumonia requires prompt & accurate treatment. Delays increase organ damage/death. Dr mike. ...Read moreSee 1 more doctor answer
Different settings: There are different settings for this. The most appropriate is when a patient comes to the hospital with a heart attack in progress, under those circumstances, angioplasty (opening the occluded artery) saves lives. Cardiac catheterization is also indicated in patients with chest pain or shortness of breath with a positive stress test or high risk. Your doctor should decide. ...Read moreSee 1 more doctor answer
See below: First a degree in nursing as an rn. The only other requirement that i know of is to be certified in cpr, that is bcls and acls. (basic and andvanced cardiac life support) those two things have to be renewed every two years. Usually the hospital or clinic where you work would arrange for that training. The rest would ordinarily be learned on the job. ...Read moreSee 1 more doctor answer
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