aldrete 2 | moves 4 limbs, 20% of bp, fully alert, normal color |
aldrete 0 | not breathing, bp >50%, no response, cyanosis |
aldrete 1 | moves 2 limbs, dyspnea, bp 20-50 of normal, arousable, pale |
preparation for a cath with allergies | premedication or change in drugs |
preparation for a cath on anticoagulants | vitamins k, plasma, hold heparin, protamine |
preparation for a cath with diabetes | hydration, postpone is renal insufficiency |
preparation for a cath with electrolyte imbalance | defer until corrected |
preparation for a cath with arrhythmias | defer, give antiarrhythmics |
preparation for a cath with anemia | defer, control bleed, transfusion |
preparation for a cath with dehydration | hydrate |
preparation for a cath with renal failure | limit contrast, high urine output, hydrate |
how often should the pulse be felt after a procedure? | 15 minutes for hour 1, 30 minutes for hour 2, every hour after |
discharge requirements | Aldrete above 9, 2 hours since sedative, baseline vitals and breathing, mentally alert |
anaphylactoid cutaneous and mucosal reactions | angioedema, flushing, laryngeal edema, pruritus, urticaria |
anaphylactoid smooth muscle reactions | bronchospasm, gastrointestinal spasm, uterine contraction |
anaphylactoid cardiovascular reactions | arrhythmia, hypotension shock, vasodilation |
detrimental prophylactics | Furosemide, mannitol, endothelin receptor antagonist |
ineffective prophylactics | fenoldopam, dopamine, calcium channel blockers, atrial natriuretic peptide, L-Arginine |