Cardiac Catheter Laboratory Based Computer Generated Bivalirudin/Glycoprotein IIb/IIIa Flow Sheet

2005 ◽  
Vol 40 (10) ◽  
pp. 882-889 ◽  
Author(s):  
Michael Zolnierz
Keyword(s):  
Creatinine Clearance ◽  
Flow Sheet ◽  
Percutaneous Coronary Interventions ◽  
Microsoft Excel ◽  
Spreadsheet Program ◽  
Cardiac Catheter ◽  
Pharmacy Department ◽  
Percutaneous Coronary ◽  
Specific Medication ◽  
Catheter Laboratory

Bivalirudin and glycoprotein IIb/IIIa antagonists are commonly used during percutaneous coronary interventions (PCI). The Pharmacy Department of Charlton Memorial Hospital implemented a dosing flow sheet that is operated by the Cardiac Catheter Lab nursing staff. The computer-oriented program utilizes the Microsoft Excel spreadsheet program. The computer spreadsheet calculates an estimated creatinine clearance (CrCl) rate and inserts proper renal adjusted dosages of both bivalirudin and glycoprotein IIb/IIIa antagonists into a printed flow sheet. The computer program is encoded to follow specific medication regimens for patients whether or not they are on dialysis. Institutions can develop medication dosing flow-sheet forms utilizing the spreadsheet concept.

scholarly journals Nursing Care for a Patient with NSTEMI Admitted to the Coronary Care Unit for Percutaneous Coronary Intervention — A Case Study

2017 ◽  
Vol 34 (1) ◽  
pp. 1
Author(s):  
M. S. SITI MARYATI ◽  
R. (II) P. DIOSO
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Nursing Care ◽  
Vital Signs ◽  
Coronary Intervention ◽  
Care Plan ◽  
Drug Eluting Stent ◽  
Cardiac Catheter ◽  
Telemetry Unit ◽  
Percutaneous Coronary ◽  
Catheter Laboratory

This case studyaims to demonstrateclinical nursing skills to a patient with myocardial infarction admitted for percutaneous coronary intervention. Nursing care for this patient startedwith a physical assessment and laboratory invesigation analysis. This evaluation was necessary to develop a nursing care plan. The activities in the ward enumerated the medications provided, and the details of the vital signs monitored hourly. The patient was sent to cardiac catheter laboratory at 1030H. From the cardiac catheter laboratory post-percutaneouscoronary intervention to the mid-right coronary artery (1 Drug-Eluting Stent) he was transferred out to Telemetry unit on 11 August2016 at 1500H with Terumo band hemostatic device through radial approach

Hospital Pharmacy–Based, Computer-Generated Tikosyn (Dofetilide) Physician Order Protocol

2003 ◽  
Vol 38 (7) ◽  
pp. 659-661 ◽  
Author(s):  
Michael Zolnierz
Keyword(s):  
Creatinine Clearance ◽  
Antiarrhythmic Agent ◽  
Torsades De Pointes ◽  
Class Iii ◽  
Clearance Rates ◽  
Efficient Manner ◽  
Spreadsheet Program ◽  
Order Form ◽  
Pharmacy Department ◽  
Class Iii Antiarrhythmic Agent

Tikosyn (dofetilide) is a Class III antiarrhythmic agent used for the conversion or maintenance of patients with either atrial fibrillation or atrial flutter. Tikosyn is excreted predominantly by the renal system. Proper dosing, which involves the estimation of creatinine clearance rates, is critical in preventing the cardiac arrhythmia torsades de pointes. The pharmacy department of Charlton Memorial Hospital developed a Tikosyn physician order form — using the Excel computer spreadsheet program — that prints estimated creatinine clearance rates and proper dofetilide dosages. Using the same spreadsheet concept, other institutions can develop physician order forms in an efficient manner.

Functional assessment of coronary blood flow as contemporary method for optimizing results of percutaneous coronary interventions in patients with ischemic heart disease

2021 ◽  
pp. 32-36
Author(s):  
D. V. Fettser ◽  
R. S. Polyakov ◽  
S. T. Matskeplishvili ◽  
E. P. Pavlikova ◽  
L. A. Dyachuk ◽  
...  
Keyword(s):  
Blood Flow ◽  
Heart Disease ◽  
Coronary Artery ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Catheter Laboratory

Coronary angiography is still the ‘gold standard’ in assessing the severity of stenotic lesions of the coronary arteries in the catheter laboratory. However, it is often difficult to identify the hemodynamic significance of one or another coronary artery stenosis, which is especially difficult in the case of borderline lesions with a coronary artery stenosis of 40–70 % according to angiography. It is important to note that the results of performed PCI are still largely assessed only on the basis of control angiographic data. This is due to the fact that the largest difference between angiography and FFR is in the intermediate range, and in general there is much less variation between angiography and fractional blood flow reserve (FFR) in the severe and mild lesions. However, the results of studies evaluating FFR after PCI showed a wide range of FFR values after satisfactory results of stenting according to angiography data. This additionally confirms the thesis that only one angiography is limited in determining the ischemic boundaries after PCI, and the level of FFR values after PCI is directly related to the results in the long-term period. Percutaneous coronary interventions under the control of FFR allows the operator to improve the results of endovascular treatment of coronary lesions in patients with coronary heart disease. The use of FFR in a catheter laboratory contributes to an increase in the clinical and economic efficiency of procedures, which is achieved due to the fact that the determination of FFR before PCI can significantly reduce the number of stents implanted during PCI, as well as to avoid unnecessary PCI stages in the treatment of patients with lesions of the LMCA. In addition, FFR allows to timely optimize the results of suboptimal PCI, as well as to reduce the frequency of main adverse cardiovascular events in the long-term period.

A Master Class in Dimensional Analysis: the Universal Gas Constant

2018 ◽  
Author(s):  
john andraos
Keyword(s):  
Physical Chemistry ◽  
High School ◽  
General Chemistry ◽  
Dimensional Analysis ◽  
Undergraduate Students ◽  
Microsoft Excel ◽  
Energy Unit ◽  
Spreadsheet Program ◽  
Volume Unit

We present a spreadsheet-assisted exercise using Microsoft Excel software for the<br>determination of the universal gas constant, R, in 35,712 different units. This large<br>number of units arises from a simple enumeration of possible pressure-volume unit<br>combinations and energy unit combinations covering SI (metric), Imperial (British), and<br>American units. In turn, various units for force and area used for defining pressure, and<br>various units for force and distance used for defining energy are explored. This<br>presentation serves as an excellent exercise for high school and undergraduate students to<br>master the skill of dimensional analysis, unit conversions, and basic combinatorics in<br>general chemistry and physical chemistry courses. Instructors can also use the described<br>exercise of constructing conversion matrices to train students in how to efficiently use the<br>Microsoft Excel spreadsheet program.

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