CLINICAL QUERIES: How do I care for a patient after PCI?
Maria Overstreet RN, MSN

$3.95
Nursing2015
February 2004 
Volume 34  Number 2
Pages 31 - 31
 
  PDF Version Available!

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    I'm experienced at caring for patients after a diagnostic cardiac catheterization. I'm not so confident about my ability to care for someone who's also had a percutaneous coronary intervention (PCI). What special needs does a patient have after PCI?—H.C., KY.

    Maria Overstreet, RN, MSN, replies: Routine care for all patients includes monitoring for bleeding (including retroperitoneal bleeding), pseudoaneurysm formation, infection, arrhythmias, contrast medium–induced renal failure, and ECG changes that might indicate cardiac ischemia or myocardial infarction. The patient may be receiving anticoagulation or antiplatelet therapy (or both), so teach him about his medications before discharge. Also teach him about recommended lifestyle modifications. If he has diabetes or hypertension, he'll also need to learn about tight glycemic control and controlling BP.

    Complications of PCI with stent placement, ...

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