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Relative Contraindications for Cardiac Cath (6)
1. Uncontrolled ventricular irritability
2. Uncorrected HTN
3. Febrile Illness
4. Decompensated Heart Failure
5. Allergy to Contrast
6. Severe Renal Failure
What information does the Cath Report give you?
Summary of indications for procedure
Descript of Cath itself
What Makes a Patient HIGH RISK? (8)
1. <1 or >70 years old
2. Severity of Disease
3. Increased 10 Fold with:
-Class IV ASA or NYHA
-Left Main disease
-EF<30%(or equal to)
4. Valvular heart disease
5. Renal Insuficiency
6. Insulin Dependent DM
7. Advanced peripheral or cerebral vascular disease
8. Severe Pulm Disease
Indications for Heart Cath (6)
1. Unstable Angina
2. Postinfaction angina
3. Typical/atypical chest pain
4. positive exercise stress test
5. Positive Dipyridamole stress test
6. Wall motion abnormalities
What does standard VI of the AANA practice guide say?
"There shall be complete, accurate, and timely documentation of pertinent information on the patient's medical record."
What is the purpose of Medical documentation?
1. Facilitates comprhensive patient care
2. Provides retrospective review of research data
3. Establishes a medical-legal record
Treatment options for CHF
Phospodiesterase inhibitors:Amirinone, Milrinone
(FTI card; there are others)
Critical Levels of Hematocrit and Hemoglobin
-<15% can produce heart failure
->60% can cause spontaneous clotting
-<5 Heart failure
->20 spontaneous clotting of capillaries
How to prevent sickling with sickle cell patients
Maintain fluid volume
Maintain oxygenation-maintain 30% crit
Lymphocyte increased indicates what
Decreased in HIV and Immunosupression
Normal Platelet count
You are told the number not the function with a CBC. Need a TEG for functional status
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