Key Nursing Points After Coronary Angiography: What to Keep in Mind?

Update Date: Source: Network

For patients with coronary heart disease, coronary angiography can be performed during examination. This method has relatively low risk and less pain for patients, and has high detection accuracy. The main nursing points after coronary angiography mainly include observation of vital signs, observation of dorsalis pedis artery pulsation, encouraging patients to drink more water, etc.

I. Key Points of Post-Coronary Angiography Nursing

1. Observation of vital signs: temperature, pulse, respiration, blood pressure, electrocardiographic monitoring, etc.

2. The punctured limb should be straightened and the puncture site should be pressed with a sandbag for 6-8 hours. Observe whether there is bleeding, hematoma formation at the puncture site. If there is, further observe whether there is any impact on the blood supply of the distal limbs, venous return obstacles, etc. The punctured limb can be appropriately raised to promote blood return.

3. Observe whether the dorsalis pedis artery pulsation is good, and pay attention to the skin, temperature, and humidity of the catheterized limb to understand its blood supply.

4. Encourage patients to drink more water after surgery to facilitate the rapid excretion of contrast media.

II. Precautions before Surgery

1. Do a good job explaining, eliminate doubts, stabilize emotions, introduce the purpose and nature of coronary angiography and the general process of the operation to patients before surgery, so that patients and their families can reduce concerns and cooperate closely with doctors to reduce side effects.

2. Train patients in effective coughing, inhalation, exhalation, and breath-holding movements. Explain that immediate and forceful coughing after the intraoperative angiography is completed can promote the rapid emptying of the contrast media in the coronary arteries and restore myocardial blood supply.

3. Pre-surgical examinations should be performed, including biochemistry, blood routine, coagulation time, liver and kidney function, electrocardiogram, etc.

III. Contraindications of Coronary Angiography

1. Allergy to iodine or contrast media.

2. Severe cardiopulmonary dysfunction that cannot tolerate surgery.

3. Uncontrolled severe arrhythmia such as ventricular arrhythmia.

4. Electrolyte imbalance.

5. Severe liver and kidney dysfunction.