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Coronory angiography
1. CORONORY ANGIOGRAPHY
DEFINITION: coronary angiography is an x-ray
examination of the blood vessels or chamber of the
heart . A very small tube [catheter] is inserted into the
blood vessel in upper thigh [groin area ] or arm. The
tip of the tube is positioned either in the heart at the
beginning of the arteries supplying the heart , and a
special fluid [ called a contrast medium or dye ] is
injected . This fluid is visible by x-ray and the pictures
that are obtained are called angiogram .
3. PREPARATION OF THE CAG
A .PREPARATON BEFORE CAG
:Explain the procedure to the patient and patient party.
:Take consent from patient and patient party.
Check for blood report , if not, send blood for urea,
Creatinine Blood grouping and serology.
Patient must be kept four hour NPM before procedure
4. PREPARATION OF CAG
ECG should be taken before procedure .
Prepare the site by shaving and painting with
antiseptic solution like beta dine solution .
An I|V Access should be inserted and kept ready .
Check for loose tooth or denture ,if the patient has
a loose teeth tie up with a clean thread and if the
patient has denture removed it and Hand over to
patient party.
5. PREPARATION OF CAG
Removed all the metal ornaments .
Ask for any medicine allergy .
Check for site infection or skin infection .
Check for blood report .
Check the pulsation at the puncture site .
Give psychological support.
Give pre –medication .
Connect the ECG And saturation probe
6. DURING THE PROCEDURE
Procedure site .
Provide comfortable position in the cath lab table .
Observe the hemodynamic status of the patient .
Prepare the patient site fore access .
Check for any allergic reaction while contrast is
pushed.
7. AFTER PROCEDURE
Removed the sheath .
Tight dressing should be done .
Check for any hematoma.
Check for any bleeding .
Check vital sign .
Check pedal pulse .
Patient shifted to the ward .