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not received any anticoagulation medications and proper technique is followed, hemostasis can be achieved for venous sheaths smaller than 9F in about 5 minutes. For arterial sheaths of 4F or 5F, hemostasis may be achieved in less than 10 minutes; for 6F to 8F, 10–15 minutes of manual compression is generally sufficient. If arterial sheaths of 9F or greater are used, compression time will need to be adjusted accordingly (Watson, & Gorski, 2011). Problems associated with manual pressure for hemostasis include poor technique such as staff fatigue, inconsistent pressure, and tendency to carpal tunnel syndrome related to hand and wrist strain. Alternative use of C-clamps or FemoStop can relieve the manual strain associated with holding the femoral site for extended lengths of time (Watson, & Gorski, 2011).

Nursing management Cardiac catheterization has evolved into an outpatient procedure that has vital implications for nursing …show more content…
Obtain exact weight. Document the amplitude of femoral and distal arterial pulses in both legs. Check patient name and medical record number on the patient identification band (ID). Obtain a complete history of allergies before the procedure for administration of fluids, sedation, and emergency medication. Obtain a concise and targeted medical, surgical, catheterization, PCI history, and current medication. Oral and intravenous prophylaxis should be administered as soon as possible before the procedure. Insert a patent intravenous (IV) access, hydration should be established as soon as possible, the amount of hydration depends on renal status and cardiac function. Record a baseline set of vital signs, including oxygen saturation by pulse oximetry. (Moser, & Riegel,

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