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angiogrampowerpoint-1.pptxANGIOGRAPHY
Aaron Webb
IMPORTANCE OF DIAGNOSTIC TEST
Angiography is a procedure that uses dye and x-ray contras to see blood vessels usually placed in femoral artery
Importance:
The importance of this procedure is to show if there are any blockages or plaque build up in arteries or veins that can lead to chest pain, heart attacks, strokes, aneurysms, and AVM. It also gives the doctor a good view on treatment options and potential problems.
Normal Versus Abnormal
Normal lab findings: There will be no blockages, plaque build up, or an obstruction when looking at the x-ray.
Abnormal lab findings:
There are many different findings in an angiograms; factors effecting these findings are blockages, plaque build-up, any matter that is slowing the blood flow down.
Angiograms of a large aneurysm on the basilar artery (left) and an arteriovenous malformation (right).
Patient Teaching Before Procedure
Prep for procedure:
Do not take any aspirin or any products containing aspirin.
Do not take dipyridamole or warfarin within 72 hours before the test, and 24 hours after the test. They are blood thinners.
Do not take Plavix for 5 days prior to the procedure.
Diabetes: All insulins have some type of restriction.
NPO after midnight if having a scheduled general anesthesia
Bring a list of active medications
Empty bladder before exam
May have a blood test or ECG
Risk Factors Of Angiography
Risks can include:
Bleeding or bruising
Blood clots
Injury to the artery or vein
A small risk of stroke
A very small chance of a heart attack or a need for bypass surgery
Low blood pressure
Infection
Patient Teaching After Procedure
Post-op Procedure
Monitor vitals after, do not apply creams or lotion to incision site
Patient will need to lay flat for a couple hours after if catheter was inserted into the groin
Drink plenty of fluids to flush dye out of the body
Avoid strenuous activities and heavy lifting for several days.
You may shower 24 hours after procedure
Call Doctor:
Signs of infection, bleeding, chest pain, weakness in legs, if temp exceeds 101.5
Possible Nursing Diagnosis
Ineffective tissue perfusion r/t clot formation at catheter site aeb decreased pedal pulses, numbness in extremity,
Acute Pain r/t tissue trauma and prescribed post procedure immobilization aeb patient rating pain 8 on 1-10 scale.
Risk for Ineffective Therapeutic Regimen Management r/t insufficient knowledge of medication regime and post-op care aeb patient and wife verbalize these concerns
Follow Up After Procedure
Abnormal:
Follow up procedures usually depend on the diagnosis the doctor gives you after getting the results, but some of these may be:
Angioplasty: it is a removal of the blockage
Bypass Operation: transplanting veins and arteries from other parts of your body to your heart.
Normal:
There are usually no follow up test or exams unless something happens with the catheter sight.
Doctor or Nurse will give you discharge papers on how to control or stop the blockage of arteries and veins
Ethical Issues On The Angiogram
Ethical Issues
Costly procedure, patient without insurance end up paying a lot to get this procedure done
Very invasive, but other less invasive procedures have been introduced such as computed tomography angiography (CTA) and magnetic resonance angiography (MRA) that do not require a catheter be inserted.
