In this section : Referral
: Cardiac
Deactivation of Implantable Cardioverter Defibrillator
Extravasation of IV Amiodarone
Anticoagulation for AF, DVT and PE
Patients Returning from Interventional Cardiac Procedure
Cardiology Referrals
STEMI Thrombolysis Protocol
STEMI
Hypertensive Emergencies
Rate Control in AF
Heart Failure
Aortic Dissection
Non ST Elevation MI (NSTEMI)
Suspected Acute Coronary Syndrome
Pericardiocentesis
Pacemakers
Indications for Echocardiography
Bradycardia
Narrow Complex Tachycardia
Anti-Platelet Therapy in Coronary Heart Disease
Management of Acute AF
Rhythm Control in AF
Atrial Fibrillation
Hypertension
Ventricular Tachycardia
Cardiogenic Shock Complicating Acute Coronary Syndrome
Telemetry
Patients Returning from Interventional Cardiac Procedure
Last updated 4th March 2024
- Prescribe Dual Antiplatelets as per the recommendations from the tertiary centre.
- Ensure they have had a new ECG and NEWS.
- Full clerk in (this is usually quick as the diagnosis has already been made and everything is in the cath lab report summary!)
- Prescribe meds according to Hairmyres drug chart (not HEPMA)
- Check they aren’t in pulmonary oedema when examining (if they are, give 80mg IV frusemide)
- Check their access site (usually their right radial artery ie right wrist) – there will likely be bruising and potentially a bit of swelling, but as long as they have a good radial pulse, warm fingers and good cap refill, it is generally fine
- Request bloods for the following day: FBC, U&E, lipids, HbA1c (ie the same as you would for an NSTEMI)
Content updated by Sian Finlay