1. CORONORY ANGIOGRAPHY
 DEFINITION: coronary angiography is an x-ray
examination of the blood vessels or chamber of the
heart . A very small tube [catheter] is inserted into the
blood vessel in upper thigh [groin area ] or arm. The
tip of the tube is positioned either in the heart at the
beginning of the arteries supplying the heart , and a
special fluid [ called a contrast medium or dye ] is
injected . This fluid is visible by x-ray and the pictures
that are obtained are called angiogram .

2. CORONORY ARTERIES

3. PREPARATION OF THE CAG
 A .PREPARATON BEFORE CAG
 :Explain the procedure to the patient and patient party.
 :Take consent from patient and patient party.
 Check for blood report , if not, send blood for urea,
Creatinine Blood grouping and serology.
 Patient must be kept four hour NPM before procedure
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4. PREPARATION OF CAG
 ECG should be taken before procedure .
 Prepare the site by shaving and painting with
antiseptic solution like beta dine solution .
 An I|V Access should be inserted and kept ready .
 Check for loose tooth or denture ,if the patient has
a loose teeth tie up with a clean thread and if the
patient has denture removed it and Hand over to
patient party.

5. PREPARATION OF CAG

 Removed all the metal ornaments .
 Ask for any medicine allergy .
 Check for site infection or skin infection .
 Check for blood report .
 Check the pulsation at the puncture site .
 Give psychological support.
 Give pre –medication .
 Connect the ECG And saturation probe

6. DURING THE PROCEDURE
 Procedure site .
 Provide comfortable position in the cath lab table .
 Observe the hemodynamic status of the patient .
 Prepare the patient site fore access .
 Check for any allergic reaction while contrast is
pushed.

7. AFTER PROCEDURE
 Removed the sheath .
 Tight dressing should be done .
 Check for any hematoma.
 Check for any bleeding .
 Check vital sign .
 Check pedal pulse .
 Patient shifted to the ward .

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