Flashcards in Therapeutic Management Deck (9)
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1
Percutaneous transluminal coronary angioplasty (PTCA)
Invasive nonsurigal
Uses-MI
Complications- arterial dissection or rupture, embolization of plaque fragments, spasm, acute MI
2
PTCA PreOp
NPO after midnight
Allergies to iodine
Site preparation
Baseline v/s and peripheral pulses
Chest pain may occur during ballon inflation
3
PTCA PostOP
Assess distal pulses
Bed rest, keep leg straight 6 to 8 hours
Anticoagulants, antiplatelet
IV nitroglycerine to prevent coronary artery vasospasm
Encourage fluids
4
Laser-Assisted angioplasty
Used for clients with small conclusions in the distal superficial femoral, proximal popliteal, and common iliac arteries, and in coronary arteries
Heat from the laser vaporizes the plaque to open the occluded artery
5
Coronary artery stents
Used in conjunction with PTCA
6
Atherectomy
Removes plaque from a coronary artery by the use of cutting chamber on the inserted catheter or a rotating blade that pulverized the plaque
7
Transmyocardial revascularization
Used for clients with widespread atherosclerosis involving vessels that are too small and numerous for replacement or balloon catherization, performed through a small chest incision.
Uses a high power laser
8
Arterial revascularization
Increase arterial blood flow to the affected limb
9