Which of the following methods to induce hemostasis after
sheath removal post Percutaneous Transluminal Coronary
Angioplasty is the least effective?
a) Application of a sandbag to the area
Several nursing interventions frequently used as part of the standard
of care, such as applying a sandbag to the sheath insertion site, have
not been shown to be effective in reducing the incidence of bleeding.
b) Application of a vascular closure device, such as AngiosealTM,
VasosealTM, DuettTM, Syvek patchTM
Application of a vascular closure device has been demonstrated to be
very effective.
c) Direct manual pressure
Direct manual pressure to the sheath introduction site has been
demonstrated to be effective and was the first method used to induce
hemostasis post PTCA.
d) Application of a pneumatic compression device (e.g., Fem-StopTM)
Application of a pneumatic compression device post PTCA has been
demonstrated to be effective

1 Answer

Answer :

a) Application of a sandbag to the area
Several nursing interventions frequently used as part of the standard
of care, such as applying a sandbag to the sheath insertion site, have
not been shown to be effective in reducing the incidence of bleeding.

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