Grossman's Cardiac Catheterization, Angiography, and Intervention - Essay Example

Post Angiogram done on a patientThe patient (Popliteral Femoralie) had complications before he was admitted in the cardiac ward and got readmitted again. Readmission to the ward was after the failure of the radial angiogram followed by femoral angiogram that involved angioplasty. The stent was also placed in the left frontal descending artery of the patient. It shows that the post angiogram was to be carried out to the patient in order for the cardiologists to examine what was the problem. Popliteral was placed unique position such as lying on the table in order to promote appropriate inhalation.

The cardiologists later started cardiac telemetry. Cardiac telemetry helps in diagnosing the yield of arrhythmia and manages therapeutic caused by the consumption of antiarrhythmic drugs. They expected for arrhythmias to occur during post angiogram at approximately two hours. The cardiologists examined the condition of softness particularly on the femoral vein and the neurovascular observations as well as the rate of bleeding on both legs of the patient in every hour of operation. It suggests that Popliteral Femoralie maybe had experienced numbness in his legs which could have resulted from the failure of blood supply through lunar or radial arteries.

Since the cardiologists observed on femoral veins, therefore, they mostly focused on lunar artery which is located in the legs. During angioplasty, femoral angiography is more efficient than radial angiography and this case that is why the cardiologists opt to do it on the patients’ legs where the lunar artery is located (Baim & Grossman 2005, p. 8).Cardiologists seem to have inserted the catheter through the lunar artery which is mostly associated with a lot of bleeding. Lidocaine is usually injected into patient’s body in either through the arm or the upper leg close to the hip.

It numbs the body but do not make the patient to sleep. The catheter is threaded up to the heart through an artery with no pain. An x-ray camera although not mentioned, in this case, can assist in projecting images of the arteries on the screen where cardiologists can intervene about the obstruction in the artery. A contrast is later injected for it to flow up to the heart. If an impasse is found, a guide-wire is usually passed crosswise the narrowed segment which supports in placing a tiny balloon in that region.

An inserted balloon catheter is later inflated many times where it flattens lamination inside an artery where the artery may crack, and the blockage is gone (Baim & Grossman 2005, p. 12).During the operation, four fluids were continuously added to the patient’s body at the rate of 100mL/hr. Cardiologists added him the fluids because maybe the patient was fasting for the normal anesthetic. Cardiologists continuously observed for Chest Wall Malformations (CWMs) on the radial site in assistance in identifying anomalies which are beneficial to the patients’ lives.

CWMs can be caused by poor cosmoses and revulsion to public and sports exposure amongst the children. TRB (T Cell Receptor Beta Locus) was also supposed to be removed after the patient returned to the ward an hour later. The TRB is just a gene involving protein coding. The removal of the TRB was through the fear that the patient might experience a decline in the flow of blood through the lunar and radial arteries, and compression bandage fasten that area (Yan & Kowey 2002, p. 3).References ListBaim, D S, & Grossman, W 2005, Grossman's cardiac catheterization, angiography, and intervention.

Philadelphia, Lippincott, Williams & Wilkins. pp. 8-12. Yan, G-X & Kowey, P R 2002, Management of cardiac arrhythmias. New York, NY, Humana Press. pp. 2-4.