Arteriogram and Angioplasty - Discharge Protocol скачать в хорошем качестве

Arteriogram and Angioplasty - Discharge Protocol

#ArteriogramRecovery #AngioplastyCare #VascularProcedure #PostOpProtocol #LyingFlat #WoundCare #Medications #WarningSigns #ExerciseAfterSurgery #DrGregoryWeir This video transcript details the Post-Arteriogram and Angioplasty Protocol, focusing on strict recovery measures. These procedures involve accessing blood vessels, often via a groin puncture. Recovery requires precise care to ensure secure healing and prevent complications. The most surprising initial instruction is position: do not sit upright for the first 24 to 48 hours; remain lying flat or close to it. If absolutely necessary to sit, lean back to a maximum 45-degree angle (a slouch) for only five minutes every six hours. This restriction is vital because bending the hip puts pressure on the access point, increasing the risk of bleeding or hematoma. Driving is not allowed. When a passenger or lying down, keep the leg straight and elevated above heart level to reduce swelling. Wound care involves removing hospital dressings before a quick shower (less than five minutes). Gently clean the puncture area with recommended antiseptic cleaners like Prontosan or sterile saline, not just soap and water. Immediately pat the area dry and apply fresh dressings. Strict adherence to prescribed medications is crucial. Continue existing chronic medications. Almost always take an antiplatelet drug like aspirin, often combined with clopidogrel. If already on an anticoagulant (warfarin, rivaroxaban), continue taking it. These meds prevent clots after working inside blood vessels. Watch for warning signs: sudden pain, new swelling, loss of sensation, weakness, leg color change, or unstoppable bleeding from the site. Contact consulting rooms immediately if any concern arises. A follow-up appointment within about two weeks must be arranged by the patient. The golden rule is "When in doubt, phone the consulting rooms." Longer-term, focus on daily exercise (walking, cycling, swimming) after about four weeks to improve circulation. Controlling weight and quitting smoking are critical long-term goals for vascular health. Help is available for quitting smoking, such as varenicline or bupropion. Sticking to the strict initial rules can build discipline for long-term healthy habits.