Post-Cath Pulse Loss Clinical Pathway — ICU and Inpatient
Post-Cath Pulse Loss Clinical Pathway — ICU and Inpatient
Ischemic Limb
Definition
Ischemic limb: cool, pale, markedly delayed or absent cap refill
- Notify attending on service, cath lab team and thrombosis/anticoagulation team STAT
- Start heparin per protocol
- STAT extremity ultrasound
- Consider surgical consult
- Further treatment pending above consultations and findings (possibilities
include heparin, rtpa, intervention)
Possible Indications for rtPA
- Ischemic/threatened limb
- Already limited femoral access