Precautions after Percutaneous Transluminal Coronary Angioplasty (PTCA) or Balloon Angioplasty with Stent Placement-via the groin

  1. Before removing the sheath, keep the ankle of the puncture side straight to prevent the sheath from dislodging and causing bleeding.
  2. After sheath removal, pressure will be applied to the puncture site with a sandbag for 6-8 hours. During this period, you must remain strictly in bed. You can slightly tilt to the side or perform horizontal movements to reduce lower back pain. You can use a small pillow under your waist for support, but keep the limb on the puncture side straight and avoid bending it to prevent bleeding from the wound. If you need to cough, please apply pressure to the wound with your hand. However, you can move your ankle and toe joints on the puncture side.
  3. The nursing staff will regularly measure your blood pressure, pulse, respiratory rate, and observe the condition of the wound. If you feel any discomfort or experience numbness in the limbs or a warm sensation at the wound site, please notify the healthcare personnel immediately.
  4. During the hemostasis process, you must remain in bed for activities such as eating, using the bathroom, and moving around.
  5. After returning to the ward, you can start by drinking a small amount of water. If there is no nausea or vomiting, you can proceed to eat (the bedhead can be elevated up to 30 degrees while eating). Since a contrast agent was injected during the procedure, you may experience dry mouth. If there are no contraindications, you can increase your water intake to help eliminate the contrast agent.
  6. While in bed, you will need to use a bedpan or urinal for bowel movements and urination. Due to limited mobility, it may be more difficult to have a smooth bowel movement or urination. Please relax, and if you experience difficulty, inform the nursing staff for assistance.
  7. The nursing staff will inform you of the timing for getting out of bed. Please change your position gradually when moving and, for the first time getting out of bed, make sure someone accompanies you to prevent dizziness or falls due to postural hypotension.
  8. On the day after the procedure, the nursing staff will change the dressing for your wound. Some bruising may be present near the wound, and it will gradually fade within two to three weeks. Any slight discomfort at the wound site will also disappear during this time. Dressing changes will not be required on the day of discharge.
  9. Within one week after discharge, remember to apply pressure to the wound area when sneezing, coughing, or exerting force during activities such as using the toilet.
  10. If you experience any discomfort after discharge, please return to the Cardiology Department or the Emergency Room.

Last Updated on 2023 年 7 月 7 日 by 3535

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