The perioperative nurse,with an understanding of the special surgical considerations for vascular procedures,will plan for the possibility of angiography studies being performed during the intraoperative or interventional procedure.An appropriate consideration when preparing the OR or interventional procedure room would be:

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Assess the patient for cardiac,vascular,and pulmonary disease;coagulation status;and allergies to ensure that the patient can tolerate a possible angiogram,because the contrast medium is toxic and increased fluid volumes are needed if angioscopy is planned.Because the need for intraoperative arteriography or fluoroscopy for endovascular procedures is a possibility,the patient with a vascular disorder should be positioned on an appropriate OR bed with x-ray capabilities and the availability of x-ray department personnel should be coordinated.Appropriate contrast media,catheters,and impermeable sterile x-ray covers must be available.Radiation-protection devices,such as lead aprons and shields,should be used for the patient,when possible,and for surgical team members.

The Perioperative Nurse,with an Understanding of the Special Surgical Considerations