Lesson 1History review focused on cardiovascular risk factors, medications, allergies, and last oral intakeOutlines a targeted pre-procedure history suited to cath lab, stressing heart risk factors, current and recent medicines, allergies, and exact time and type of last oral intake to guide safety and anesthesia planning in local contexts.
Organized heart risk factor checkRecording medicine time and last dosesClarifying drug, food, and contrast allergiesFinding last oral intake and no-food statusSpotting warning signs needing doctor reviewLesson 2IV access strategies: peripheral vs central, sizes for contrast/medication administration, confirming patencyDetails choice of peripheral versus central vein access, right catheter sizes for contrast and medicines, ways to confirm openness, and fixing issues like leakage, tightening, or poor flow before and during cath lab procedures.
Picking peripheral versus central vein accessSize choice for contrast and drug givingWays to secure and label IV linesChecking openness, blood return, and flowHandling leakage, leaking out, or tighteningLesson 3Patient identification protocols and two-person verification methods (ID band, verbal confirmation, chart cross-check)Covers legal and safety needs for correct patient identification, use of ID bands and spoken confirmation, two-person check processes, and fixing differences between wristband, chart, and electronic records before any invasive step.
Needed identifiers for cath lab patientsSpoken ID checks with patients having mind issuesTwo-person check process at procedure startMatching ID band, chart, and EMR dataRecording and raising ID differencesLesson 4Pre-procedure fasting rules, premedication (analgesia, anxiolytics), and allergy prophylaxis protocols (contrast/iodine allergy)Explores no-food times for solids and liquids, safe use of pre-medicines like pain relievers and calmers, and proof-based allergy prevention for contrast or iodine reactions, including screening, risk grouping, and recording.
Standard no-food times for solids and clear liquidsPre-medicine choices and timing in cath labScreening for past contrast or iodine reactionsSteroid and anti-itch pre-medicine plansHandling high-risk allergy or severe reaction historyLesson 5Medication reconciliation and peri-procedural medication management (antiplatelets, anticoagulants, antihypertensives, nitrates, diabetic meds)Focuses on organized medicine matching, spotting high-risk drugs, and planning around-procedure management of blood thinners, clot preventers, blood pressure lowers, nitrates, and sugar medicines to balance bleeding, blockage, and blood flow risks.
Gathering full pre-procedure drug listManaging double blood thinner therapy before PCIHandling warfarin and direct mouth clot preventersAdjusting blood pressure lowers and nitrates safelyAround-procedure management of sugar agentsLesson 6Assessing and optimizing comorbidities relevant to PCI: hypertension, diabetes, chronic kidney diseaseReviews checking of high blood pressure, sugar disease, and long-term kidney issues before PCI, including vital signs, sugar levels, 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 lessening waysWhen to delay PCI for health issue improvementLesson 7Consent verification, documentation, and handling questions about risks and benefitsExplains legal and right aspects of informed agreement, checking that agreement is valid and full, ensuring recording is correct, and answering patient questions about risks, gains, and choices in simple language.
Parts of valid informed agreementChecking form fullness and signaturesChecking patient ability and stand-insExplaining common cath lab risks and gainsRecording questions and given answersLesson 8Communication techniques to reduce anxiety and provide brief procedural explanations in lay termsDescribes patient-focused talk methods to lessen worry, including building trust, using simple words, checking understanding, and addressing common fears about pain, calming, and results in the cath lab place.
Building trust on first patient contactUsing simple terms to explain PCI and vessel imagingSetting hopes about pain and calmingAnswering 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)Covers understanding of key pre-procedure tests, including full blood count, body salts, creatinine and eGFR, blood clotting studies, heart damage marker, and heart tracing, and how bad results affect timing, access choice, and blood thinning plans.
Full blood count parts linked to bleeding riskBody salt issues affecting heart rhythm problemsCreatinine, eGFR, and contrast risk checkBlood clotting panel and blood thinning planningHeart tracing and heart damage marker in sudden heart blockage cases
