Angiogram

An angiography is a diagnostic and therapeutic X-ray technique. It is regarded as the gold standard for assessing arterial blockages. When a contrast agent is injected during an angiography, obstructions are found using an X-ray tomography device (iodine dye). The process gives the doctor or surgeon information that aids in making the optimal treatment decisions for the patient.

X-ray imaging is used during a coronary angiography to visualize the patient's heart's blood arteries. This technique can be both therapeutic and diagnostic Coronary angiograms are a component of the broader cardiac catheterization technique. A type of dye that can be seen on an X-ray machine is injected into the patient's heart's blood vessels during a group coronary angiogram. The X-ray machine quickly produces a series of images (angiograms), giving a thorough view of the blood vessels' interiors. The doctor will carry out procedures as needed, such as angioplasty or coronary angiogram.

Cardiac catheterization entails inserting a catheter into the heart and blood vessels nearby in order to obtain information about the circulatory system's valves' structure and operation.

Pre-procedure Nursing Interventions

• Getting informed consent
• Inquire about any sensitivities to seafood, iodine, or radioactive dye.
• To avoid vomiting and aspiration during the procedure, keep the patient at NPO for 6 to 8 hours on a solid diet and 4 hours on a liquid diet.
• To determine the appropriate amount of dye and assess any potential complications following the procedure, keep track of and record the patient's height, weight, vital signs, and peripheral pulses.
• Let the patient know that:
  • It is possible to utilize local anesthetic prior to catheter implantation.
  • Due to the prolonged requirement to remain motionless and silent on a table, he or she can experience tiredness. He or she can experience fluttering as the catheter is inserted.
  • When the dye is injected, a flushed, warm feeling, a need to cough, and palpitations brought on by an agitated heart.
• Prepare the insertion site, give the necessary drugs, and place an IV line if prescribed.

Post-procedure Nursing Interventions

• Initially, for two hours, or in accordance with organizational policy, monitor vital signs, heart rhythm, peripheral pulses, and the color, temperature, and sensation of the extremity distal to the insertion site at least every 30 minutes.
• Check for dysrhythmias and chest discomfort. Inform your doctor if it happens.
• Keep an eye out for hematoma and bleeding in the pressure dressing. Apply pressure if bleeding occurs, and notify the doctor right away.
• Keep an eye out for any rash, nauseousness, or other dye hypersensitivity symptoms.
• Any of the following signs or symptoms should be reported to the doctor by the patient:
  • Loss of peripheral pulse, cyanosis, or the onset of chilly, pale, or bluish extremities
  • Extreme discomfort, numbness, and tingling
  • Hemorrhage and hematoma
• Maintain the affected extremity straight for at least 8 hours or as directed by the organization's protocol. Me
• If it is not contraindicated, encourage fluid intake to encourage renal excretion of the dye.