CARDIAC CATHETERIZATION LABORATORY PRE-TCT ORDERS
1. Scheduled TCT on 10/12/21 Time 2 a.m/p.m
2. Secure consent
3. Inform cath, lab, regarding TCT schedule.
4. NPO after: LIGHT BREAKFAST
5. Prepare: Wrist Area, Right
6. Reserve room at CCU after TCT.
7. Anesthesiologist _________
8. Surgical Back-up _________
9. Pre-medicate with Diazepam 5 mg ORAL
Diphenhydramine 25 mg ORAL
10. Ineffective Endocarditis Prophylaxis: ____________________________________
11. Request for: _ Creatinine _PTPA _ aPTT _CBC_ 12 Lead ECG _ Others _______
12. Start IVF: _______________________ to start at____________________ a.m/p.m
13. _ Place condom cathether prior to bringing the patient to the cath lab.
_ Please make patient void urinary bladder prior to bringing him/her to cath lab.
14. Medications: Clopidogrel (Plavil) 75 mg 4 tabs
15. Measure: Height 147 cm
Weight 40 kg
Analysis: During cardiac catheterization, blood tests, urinalysis, a chest x-ray, and an EKG are
performed. These tests are performed to ensure that the conditions for your cardiac
catheterization procedure are optimal and safe.
Reference: Cardiac Cath Lab. Lawrence General Hospital. (n.d.). Retrieved October 17, 2021,
from [Link]
vascular-access-center/cardiac-catheterization.
CORONARY ANGIOGRAPHY
Pre-medication:
Approach: (mark with X)
__ Femoral Cutaneous
__Brachial Cutdown
X_ Radial
X_ Right
__ Left
Catheter Used: SF Tiger
ANGIOGRAPHIC STUDIES
CATHETER PROJECTIONS DYE VOLUME FLOW RATE FILM
SITE
Coronaries LAO, RAO, Cau, 30 Handheld 15fps
Cran Injection
No LV Gram
PRESSURE RECORDING
BASELINE POST NTG POST ANGIO PULLBACK
LV
AORTA 130/80
ANGIOGRAPHIC PARAMETERS
Height 147 (cm) Weight: 40 (kg) BSA: 1.28 M2
Rhythm Sinus Heart rate: 92 Bpm/min
Analysis: A coronary angiography is a technique in which dynamic x-ray images of your heart
are taken. This treatment is used to determine if your coronary arteries are restricted or
clogged, as well as to check for abnormalities in your heart muscle or heart valves.
Reference: Coronary angiogram. Coronary angiogram - Better Health Channel. (n.d.). Retrieved
October 17, 2021, from
[Link]
Laboratory/ Normal Actual Values/Results Clinical Interpretation Analysis:
Diagnostic Values/R
Examination esult
COMPLETE BLOOD COUNT
RBC COUNT 4.50- 3.99 DEVIATION FROM NORMAL
5.50
Analysis: RBC counts that are lower than
normal can arise as a result of bleeding, bone
marrow failure, malnutrition, kidney disease,
dehydration, or pregnancy. Several medicines
have an effect on RBC levels, making them
higher or lower than normal.
Reference: Cafasso, J. (2018, November 2).
Red Blood Cell Count (RBC): Purpose,
procedure, and preparation. Healthline.
Retrieved October 17, 2021, from
[Link]
count.
HEMOGLOBIN 120-140 132 NORMAL
HEMATOCRIT 0.370- 0.359 DEVIATION FROM NORMAL
0.470
Analysis: A hematocrit that is lower than
normal can indicate: A lack of healthy red
blood cells (anemia) Long-term illness,
infection, or a white blood cell condition like
leukemia or lymphoma can result in a
significant number of white blood cells.
Deficiencies in vitamins or minerals
Reference: Mayo Foundation for Medical
Education and Research. (2021, July 22).
Hematocrit Test. Mayo Clinic. Retrieved
October 17, 2021, from
[Link]
procedures/hematocrit/about/pac-
20384728.
MCV 80-100 90 NORMAL
MCHC 320-380 368 NORMAL
MCH 27-33 33 NORMAL
RDW-CV 11-16 11.9 NORMAL
RDW-SD 35-56 38.6 NORMAL
PLATELET 150-450 228 NORMAL
COUNT
MPV 6.5-12.0 11.7 NORMAL
PDW 9-17 16 NORMAL
WBC COUNT 5-10 7.18 NORMAL
NEUTROPHILS 0.550- 0.460 DEVIATION FROM NORMAL
0.650
Analysis: Neutropenia is a blood disorder
characterized by decreased neutrophil counts,
which are white blood cells that protect the
body from infection. Your body won't be able
to fight bacteria if you don't have enough
neutrophils. Neutropenia puts you at risk for a
variety of infections.
Reference:
Giorgi, A. (2021, February 12). Neutropenia.
Healthline. Retrieved October 17, 2021, from
[Link]
nia#:~:text=Neutropenia%20is%20a%20blood
%20condition,for%20many%20types%20of
%20infection.
LYMPHOCYTE 0.250- 0.405 DEVIATION FROM NORMAL
S 0.350
Analysis: Your body is dealing with an
infection or another inflammatory illness if
your lymphocyte blood levels are high. A
momentarily elevated lymphocyte count is
usually a natural side effect of your immune
system at action. Lympocyte levels can
sometimes be raised as a result of a major
illness, such as leukemia.
Reference: Lymphocytosis: Symptoms, causes,
treatments. Cleveland Clinic. (n.d.).
Retrieved October 17, 2021, from
[Link]
ases/17751-lymphocytosis#:~:text=High
%20lymphocyte%20blood%20levels
%20indicate,a%20serious%20condition
%2C%20like%20leukemia.
MONOCYTES 0.020- 0.117 DEVIATION FROM NORMAL
0.060
Analysis: Medical disorders that lower your
overall white blood cell count, as well as
therapies for cancer and other serious
diseases that impair the immune system, can
cause low levels of monocytes. Chemotherapy
and radiation therapy, both of which can harm
bone marrow, can cause a low absolute
monocyte count.
Reference: Roland, J. (2019, December 16).
Absolute monocytes: Typical range, what
high or low results indicate. Healthline.
Retrieved October 17, 2021, from
[Link]
ute-monocytes#decreased-absolute-
monocytes.
EOSINOPHILS 0.030- 0.018 DEVIATION FROM NORMAL
0.050
Analysis: Eosinophil numbers are lowest in the
morning and greatest in the evening in normal
circumstances. Low numbers of eosinophils
are usually not a cause for concern until other
white cell counts are abnormally low, as in the
case of alcohol misuse or Cushing's illness.
Reference: Underwood, C. (2018, September
17). Eosinophil count: Explanation and
risks. Healthline. Retrieved October 17,
2021, from
[Link]
ophil-count-absolute#:~:text=Low
%20eosinophil%20counts%20may
%20also,counts%20are%20also
%20abnormally%20low.
BASOPHILS 0.000- 0.000 NORMAL
0.010
PROTHROMBIN TIME
TEST 9.9-11.8 10.0 NORMAL
PERCENT ACTIVITY 113.4% NORMAL
INR 0.80-1.20 0.82 NORMAL
CREATININE
44.0-88.0 70.0 NORMAL
COVID 19 RT-PCR TEST
Nasopharyngeal & Negative Negative Normal
Oropharyngeal Swab Test
