cardiac cath lab RN

prayedone · Feb 16, 2001

I've worked in three different labs. Each was unique in meds given routinely. One lab did conscious sedation on everyone using Fentanyl and Versed. We had atropine and lidocaine on top of our med/code cart for each case so it was in reach and not in a drawer. The second lab no special drug was used or at fingertip reach. The lab I am presently working in keeps a vial of 0.5cc of Aramine in a 10cc vial of sterile saline available for emergency use for decreased B/P. All of the labs used standard ACLS protocol drugs for emergency and code situtation.

st4304 · Feb 18, 2001

I work in a diagnostic-only cath lab. We pre-op our patients one hour before their cath with Valium 5mg, Benadryl 50 mg, and Tagamet 300mg. Once in the lab, if they are still anxious, we usually give 1-2mg of Versed. One cardiologist routinely orders a bolus of Heparin 2500U given during the cath. Nitro spray sl is given for spasm or c/o CP. If we do the cath radially, after the sheath is in the docs inject a "verapmil cocktail" which is Heparin 5000U, verapamil 4mg, and Nitro 400mcg (then we have to watch out for drops in BP and HR which seems to happen often -- grab the atropine!) These are the drugs we use most commonly in our lab.

Although we are diagnostic only, we still take call -- not for emergency diagnostic caths! but for temp pacers, IABPs. We also put in permanent pacemakers, do TEEs, cardioversions, place Swans, DSEs. Recently we started putting in PICCs for the floors. (Our manager volunteered us - the few people certified to do them were never available or had left over the last few years.)

We recently were told that they are bringing open-heart to our hospital within 18 mos. We will be expanding by one cath lab (for a total of 2) and will start doing interventions. We are all very excited!

I just want to add that after years of working short staffed and frustrated in ICU, I LOVE the cath lab. The regular hours, not having to worry about staffing. I have been in the lab for two years now (and I am still the "new girl") and the teamwork and comfort level we have with each other and with the docs is wonderful.

pookoo · Aug 29, 2006

Hi, i'm still in the uk but am in the process of relocating to California asap. Dont have a job offer yet as not sure what area i want to work. I am both cath lab and CCU trained. Do cath lab nurses get paid more than CCU nurses? I have a baby and husband who will be coming with me to the US and need to earn as nuch cash as possible so I want to make the right choice in career!Can anyone help? Am hoping to move to San Diego.