1. Assessment Show
a. when the patient returns from the cardiac catheterization laboratory, the stability of the patient should be established initially. This will include, but is not limited to, EKG, vital signs, oxygenation level, urine output, cardiac, respiratory, pulmonary, gastrointestinal, and gentle urinary assessment. b. Particular attention must be paid to the peripheral vascular assessment of the lower extremities. c. Often the patient may return from the cardiac catheterization laboratory with a sheath in place. if this is the case, the institutional procedures for caring for sheaths should be applied. Some institutions, may allow the nurse to remove that sheath. Other institutions, require that the physician removes the sheath.in the latter instance, the institutions policies and procedures must be followed. d. In some institutions a ACT may be required to check the patients clotting time prior to sheath removal. e Generally, the nurse should monitor vital signs, and distal pulses every 15 minutes X 4, every 30 minutes X 2, then every hour X 2, then routine. If there is any change in the patient's neurovascular status for physician should be notified immediately. Cardiac catheterization is an invasive procedure in which a small flexible catheter is inserted through a vein or artery (usually the femoral vein) into the heart for diagnostic and therapeutic purposes. It is usually done with angiography as radiopaque contrast media is injected through the catheter and visualization of the
blood flow is seen on fluoroscopic monitors. Catheterization allows measurement of blood gases and pressures within the heart chambers and great vessels; measurement of cardiac output; and detection of anatomic defects such as septal defects or obstruction to blood flow. Therapeutic, or interventional, cardiac catheterizations use balloon angioplasty to
correct such defects as stenotic valves or vessels, aortic obstruction (particularly re-coarctation of the aorta), and closure of patent ductus arteriosus. Nursing care planning goals for a child who will undergo cardiac catheterization include promoting adequate perfusion, alleviating fear and anxiety, providing teaching and information, and preventing injury. Close monitoring of a child post cardiac catheterization is also crucial for the early identification of complications that will minimize mortality and morbidity
rates. Here are four nursing care plans (NCP) and nursing diagnosis for cardiac catheterization:
1. Ineffective Peripheral Tissue PerfusionIneffective Peripheral Tissue PerfusionNursing Diagnosis
May be related to
Possibly evidenced by
Desired Outcomes
1. Ineffective Peripheral Tissue PerfusionRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
See alsoOther recommended site resources for this nursing care plan:
Other nursing care plans for cardiovascular system disorders:
Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. What is most important to do for a patient after cardiac catheterization?You can expect to feel tired and weak the day after the procedure. Take walks around your house and plan to rest during the day. Do not strain during bowel movements for the first 3 to 4 days after the procedure to prevent bleeding from the catheter insertion site.
Which nursing interventions are priorities in care following cardiac catheterization?Desired Outcomes. Which nursing assessment is most important immediately following cardiac catheterization?The most important nursing action following cardiac catheterization is assessing the groin for bleeding and the leg for color, warmth (circulation) and pulse. Postcatheterization care involves monitoring vital signs every 15 minutes for an hour, then every 30 minutes for an hour or until stable.
What should you assess after cardiac catheterization?Retroperitoneal bleeding. Assess vital signs- bradycardia, tachycardia, hypotension, reduced level in haemoglobin, widening pulse pressure, and decreased peripheral perfusion are signs of retroperitoneal bleeding.. Assess for abdominal pain, groin pain and back pain. ... . Assess for diaphoresis.. Notify physician if suspected.. |
Which nursing action is most important when caring for a client after a cardiac catheterization?
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