nsg interventions for cardiact diagnostic test
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ekg | clients ability to lie still, breath normally, refrain from talking, reassure not electrical shock will occur, document any cardiac medications pt is taking
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holter monitor | resume normal ADLs, keep diary documenting activites & any sx that may develop.Avoid baths & showers they will interfere.
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echocardiography | ability to lie still, pt to lie still & breath normally & refrain from talking
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TEE | NPO 8-10 hours prior to exam, monitor for gag reflex before allowing to eat or drink
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MRI | eval for pacemaker or other implanted items, ensure client has removed all metal, may experience claustrophobia, loud noises
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stress test - pre procedure | consent if req'd, good rest, light meal 1-2 hrs before, avoid smoking, ETOH&caffeine.No theo for 12 hrs, cal.chnl & B-blkrs held for 24 hrs.dress appropriatle. Tell HCP if cp, dizziness, sob during procdure. List drug allergies.
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stress test - post procedure | avoid hot bath or showers for at least 1-2 hours after procedure.
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nuclear cardiology - pre procedure | informed consent, inform small amount of radioisotope will be injected & radiation exposure & risk are minimal
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nuclear cardiology - post procedure | monitor v/s, injection site for bleeding or discomfort, inform pt that fatique is possible
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electrophysiologic studies | informed consent
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