c. Nursing implications.
(1) Review the patient's clinical record to determine the reason (purpose) for
the specific patient's scheduled cerebral angiography and what the patient has been
told about the procedure.
(2) Check the patient's medication history for hypersensitivity to iodine,
seafoods, or the dyes used for other local tests, and report significant findings to the
Professional Nurse.
(3)
Approach and identify the patient.
(4) Interview the patient to determine his/her knowledge of the purpose of
the cerebral antiography procedure.
(5) As indicated, explain to the patient the specific purpose of the cerebral
angiography in his/her situation. Explain purpose in a manner consistent with that
offered by the physician to avoid confusing the patient.
(6) Explain to the patient events that will occur prior to the cerebral
angiography procedure.
(a) Patient will be required to fast 8-10 hours before test.
(b) All jewelry, dentures, and hair pins will be removed and placed in
safekeeping.
(c)
Patient will wear a hospital gown.
(d) Patient will be asked to empty his/her bladder prior to the
procedure.
(e)
Patient (or responsible family member) must sign a consent form.
(f)
The test will take approximately two hours.
(g) If ordered, medication such as a sedative may be administered
prior to the test.
(7) Explain to the patient events that will occur during the cerebral
angiography procedure.
(a) Patient will be transported to the x-ray department.
(b) The patient will be placed in a supine position on the x-ray table
and asked to remain still.
MD0919
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