Appendix 1—Review of History and Physical Examination

Abstract

This section provides helpful, easily accessible supplemental reading materials, tables, and forms on a variety of subjects, such as history, physical exam, preprocedural coagulation parameters, antithrombotic medications, procedural risk for bleeding, antibiotic prophylaxis, and preprocedural and immediate documentation and notes.

General Interventional Procedures [1, 2]

Review and document the following:

• Chief complaint

• Pertinent medical and surgical history

• History of allergies including type and severity of allergic reaction

• Review of organ systems

• Pertinent laboratory results and imaging studies

• Current medications (prescribed and illicit)

• Directed physical examination

• Determine cardiopulmonary stability and request subspecialty consultation as necessary

• Review sedation or anesthesia requirements and request anesthesia consultation as necessary

Additional for Angiographic Procedures [1, 2]

Evaluate and document the following:

• Proposed puncture site and contraindications (e.g., groin infection, common femoral artery aneurysm/pseudoaneurysm, inguinal hernia, fresh incision, and recent injury)

• Extremity pulses, using a Doppler ultrasound probe when necessary

• Status of extremities (e.g., color, perfusion, presence of swelling, ulceration)

• Risk factors for contrast allergy (e.g., previous allergic reaction to iodinated contrast, reaction to other allergens), and type/severity of allergy

• Risk Factor for contrast-induced nephropathy (e.g., preexisting renal dysfunction, diabetes, dehydration, hypotension, congestive heart failure, large contrast dose, advanced age, anemia, cardiovascular diseases, multiple myeloma)