Lesson 1History review focused on cardiovascular risk factors, medications, allergies, and last oral intakeThis lesson outline a focused history before procedure for cath lab, stressing heart risk factors, current and recent medicine, allergies, and exact time and type of last food or drink to guide safety and anesthesia plan.
Structured heart risk factor checkWriting down medicine time and last dosesMaking clear about drug, food, and contrast allergiesFinding last oral intake and no-food statusSpotting warning signs that need doctor reviewLesson 2IV access strategies: peripheral vs central, sizes for contrast/medication administration, confirming patencyThis explain choosing peripheral or central vein access, right catheter sizes for contrast and medicine, ways to check if open, and fixing issues like leak, spasm, or poor flow before and during cath lab work.
Picking peripheral or central vein accessSize choice for contrast and drug givingWays to secure and label IV linesChecking openness, blood return, and flowHandling leak, spill, or spasmLesson 3Patient identification protocols and two-person verification methods (ID band, verbal confirmation, chart cross-check)This cover legal and safety rules for correct patient ID, using ID bands and verbal check, two-person verify process, and fixing differences between wristband, chart, and electronic records before any invasive step.
Needed IDs for cath lab patientsVerbal ID checks with patients who forget thingsTwo-person verify process at procedure startMatching ID band, chart, and EMR dataWriting and reporting ID differencesLesson 4Pre-procedure fasting rules, premedication (analgesia, anxiolytics), and allergy prophylaxis protocols (contrast/iodine allergy)This explore no-food times for solids and liquids, safe use of pre-medicine like painkillers and calmers, and proven ways to prevent allergies to contrast or iodine, including check, risk level, and writing down.
Standard no-food times for solids and clear drinksPre-medicine choices and timing in cath labChecking for past contrast or iodine reactionsSteroid and anti-allergy pre-medicine plansHandling high-risk allergy or shock historyLesson 5Medication reconciliation and peri-procedural medication management (antiplatelets, anticoagulants, antihypertensives, nitrates, diabetic meds)This focus on proper medicine check, finding high-risk drugs, and planning around-procedure management of blood thinners, clot stoppers, blood pressure meds, nitrates, and diabetes medicine to balance bleeding, heart attack, and blood flow risks.
Gathering full pre-procedure drug listManaging double blood thinner therapy before PCIHandling warfarin and direct oral blood thinnersAdjusting blood pressure meds and nitrates safelyAround-procedure management of diabetes drugsLesson 6Assessing and optimizing comorbidities relevant to PCI: hypertension, diabetes, chronic kidney diseaseThis review check of high blood pressure, diabetes, and long-term kidney problem before PCI, including vital signs, sugar level, kidney function, and ways to improve blood pressure, sugar, and kidney protection to cut around-procedure problems.
Pre-procedure blood pressure check targetsSugar control and low-sugar preventionChecking kidney function and eGFR limitsWater giving and contrast cutting strategiesWhen to delay PCI for health issue improvementLesson 7Consent verification, documentation, and handling questions about risks and benefitsThis explain legal and right aspects of informed consent, checking if consent good and full, making sure writing accurate, and answering patient questions about risks, benefits, and options in easy words.
Parts of good informed consentChecking form full and signaturesChecking patient ability and stand-insExplaining common cath lab risks and benefitsWriting questions and given answersLesson 8Communication techniques to reduce anxiety and provide brief procedural explanations in lay termsThis describe patient-focused talk methods to cut worry, including building trust, using simple words, checking understanding, and handling common fears about pain, sleep medicine, and results in cath lab.
Building trust on first patient meetUsing simple words to explain PCI and angiographySetting hopes about pain and sleep medicineAnswering common fears and wrong ideasTeach-back ways to confirm understandingLesson 9Interpreting pre-procedure labs and investigations relevant to cath lab (CBC, electrolytes, creatinine/eGFR, coagulation panel, troponin, ECG)This cover reading key pre-procedure tests, including blood count, salts, creatinine and eGFR, blood clotting studies, heart damage marker, and heart tracing, and how bad results affect timing, access choice, and blood thinner plans.
Blood count parts for bleeding riskSalt problems affecting heart rhythmCreatinine, eGFR, and contrast risk checkBlood clotting panel and blood thinner planningHeart tracing and heart damage marker in sudden heart issues
