MRI is contraindicated for patients with implanted metallic devices such as pacemakers. The other information also will be reported to the health care provider but does not impact on whether or not the patient can have an MRI.
The patient took all the prescribed cardiac medications today.
The patient has a history of atherosclerosis.
The patient has a permanent ventricular pacemaker.
The patient has an allergy to shellfish.
ECG changes associated with coronary ischemia (such as T-wave inversions and ST segment depression) indicate that the myocardium is not getting adequate oxygen delivery and that the exercise test should be terminated immediately. Increases in BP and heart
Blood pressure (BP) increase from 134/68 to 150/80 mm Hg
Newly inverted T waves on the electrocardiogram
Patient complaint of feeling tired
Pulse change from 87 to 101 beats/minute
The mean arterial pressure (MAP) is calculated using the formula MAP = (systolic BP + 2 diastolic BP)/3. The MAP for the postoperative patient in answer 3 is 67. The MAP in the other three patients is higher than 70 mm Hg.
patient with left ventricular failure who has a BP of 110/70.
patient with a myocardial infarction who has a BP of 140/86.
postoperative patient with a BP of 116/42.
newly admitted patient with a BP of 150/87.
The contrast dye used for the procedure is iodine based, so patients who have shellfish allergies will require treatment with medications such as corticosteroids and antihistamines before the angiogram. The other information is also communicated to the he
The patient has not eaten anything today.
The patient is allergic to shellfish.
The patient had a heart attack a year ago.
The patient’s pedal pulses are +1.
The patient will need to be NPO for 6 hours preceding the TEE, so the nurse should place the patient on NPO status as soon as the order is received. The other actions also will need to be accomplished but not until just before or during the procedure.
Administer O2 per nasal cannula.
Start an IV line.
Place the patient on NPO status.
Give lorazepam (Ativan) 1 mg IV.
UAP can be educated in standardized lead placement for ECG monitoring. Assessment of patients who have had procedures where airway maintenance (transesophageal echocardiography) or bleeding (coronary angiogram) is a concern must be done by the registered
Placing electrodes in the correct position for a patient who is to receive ECG monitoring
Monitoring a patient who has just returned to the unit after a transesophageal echocardiogram
Teaching a patient scheduled for exercise electrocardiography about the procedure
Checking the catheter insertion site for a patient who is recovering from a coronary angiogram
The elevation in troponin T and I indicates that the patient has had an acute myocardial infarction. Further assessment and interventions are indicated. The other laboratory results are indicative of increased risk for coronary artery disease but are not
Patient whose triglyceride level is high
Patient with increase in troponin T and troponin I level
Patient who has very low homocysteine level
Patient with elevated high-sensitivity C-reactive protein level
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