cardiaccrn

One of the main problems arising from a diagnostic coronary angiogram is bleeding from the arterial site. We observe the patient closely post procedure for this. SeK+ does not tend to change due to the procedure, but should be monitored to ensure it is within normal limits. Contrast dye can cause renal impairment, thus affecting the K+. For all angiograms there is a 0.1% chance of MI, stroke and death. Stroke can be caused by dislodgment of LV thrombus during an LV gram or from cholesterol emboli being dislodged from the arterial wall (usually the aorta).

Hi everyone i am new to this, but have decided this may be the best way to get a variety of opinions. I am new to my hospital and have many policies/guidelines to put in place. Does anyone have specific guidelines for removal of temp. transvenous pacing wires? Do nurses or medical staff perform this procedure? Do you take into consideration post removal tamponade and therefore perform an echo at some stage to determine placement of lead? Any info would be welcomed thanks cardiaccrn