امرأة عمرها ٦٦ سنة أجرت قسطرة قلبية عبر الشريان الكعبري الأيمن وتركيب دعامة. بعد ٣ ساعات تقول إن أصابع يدها اليمنى صارت باردة ومخدرة. الضماد جاف بدون نزيف، والعلامات الحيوية: الضغط ١٣٢/٧٨، النبض ٨٠. ما أول إجراء؟

A 66-year-old woman had cardiac catheterisation via the right radial artery with stenting. Three hours later she says the fingers of her right hand feel cold and numb. The dressing is dry with no bleeding; BP 132/78, HR 80. What is the first action?

1. Increase the pressure in the radial band to prevent bleeding from the site
2. Raise the arm above heart level and apply warm packs to the wrist
3. Reassure the client that numbness is expected and settles within 24 hours
4. Assess hand colour, warmth, pulses and sensation and compare with the other hand

Answer: D) Assess hand colour, warmth, pulses and sensation and compare with the other hand. Coldness and numbness after radial access may mean poor perfusion from arterial occlusion or an over-tight band. The first step is a focused circulation check against the other hand, then reporting; the band is usually loosened per protocol, not tightened.