Contraindication Case Study
There are potential contraindications to getting a cardiac catheterization, though the only contraindication is the inability to provide an informed consent. There have been unstable patients how have tolerated this procedure but with high risk patients, the nurse has be cautious of assessing and monitoring these patients. The potential contraindications include uncontrolled hypertension, left sided heart failure, severe ventricular irritability, anemia, hypokalemia, digitalis toxicity, an allergy to contrast dye, renal failure, and a bleeding disordering. It is also contraindication if a patient is currently taking an anticoagulant because of the risk of bleeding (Bhimji, 2013).
It is also known that diabetes can be a contraindication of having a cardiac catheterization because of the medication metformin. Metformin and the contrast dye can cause lactic …show more content…
If the patient is not understanding what could happen during the procedure, then the nurse will alert the physician of the misunderstanding. The nurse should make sure that the patient has signed the informed consent and if he has any further questions. She should assess for allergies or if the patient has asthma if the patient had an anaphylactic reaction from the contrast media or lidocaine (McEnroe-Petitte, 2011). Obtain a list of the medications the patient is currently taking because if the patient is taking an anticoagulant, there is a potential risk of bleeding. Since Mr. Wilson is a diabetic, ask if he is currently taking metformin because this medication interferes with the contrast dye that will be inserted during the