abdominal hematoma post angiogram

[redandblue]

Hi all expert cardiac nurses,

I have a question regarding a abdominal hematoma post angiogram. I had a patient who had angiogram 4 days ago. She had a huge hematoma on the Left femoral site. Yesterday, she was complaining a new pain at the left lower abdominal site where there was hematoma plus a "lump". She said the abdominal hematoma was there at the same time as her femoral hematoma post angiogram but she only started to have pain yesterday. Her vital signs was good (BP:108/60, HR:80-90s, spO: 96% on R/A). She was on heparin drip at 7cc/h for A.fib. No abdominal distention. I even asked the nurse in charge to come and check and she said it could be normal post angiogram

Since it's the first day I had her, I don't know how long the "lump" and the abdominal hematoma has been there. There is no documentation about the abdo hematoma as no one was checking her abdomen I circled the hematoma and told the patient if she saw expansion of the hematoma she need to tell the nurse.

When I got home, I was puzzled by the hematoma. I did further research online and it turns out it could be a retroperitoneal hematoma, which is dangerous!!!!! Now I'm scared the patient may be in danger because I told the doctor it was a hematoma so she didn't check it herself, plus the nurse in charge said it could happen post angio and it's normal

Please guys, I need your input on this. Thank you very much !!!!