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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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