what should the nurse report when assessing a patient with a cardiac catheterization

Assess the patient for nausea or pain (including back pain from lying still) and provide medication as indicated. Assess the catheter insertion site for bleeding or hematoma with vital signs as ordered. Instruct him to inform you immediately if he experiences chest discomfort or other anginal symptoms.

Full Answer

What are the nursing care plans and diagnosis for cardiac catheterization?

Here are four (4) nursing care plans (NCP) and nursing diagnosis for cardiac catheterization: Ineffective Peripheral Tissue Perfusion. Ineffective Tissue Perfusion: Decreased in the oxygen resulting in the failure to nourish the tissues at the capillary level. Child’s involved extremity will be pink and warm.

What is included in the initial evaluation for cardiac catheterization?

Prothrombin time (PT), ECG, and a chest X-ray are all part of the initial evaluation that every cardiac cath patient receives as part of the standard of care. Cover the catheterization site with a pressure dressing and monitor for pain, hematoma, and bleeding.

Why is it important for nurses to be competent post cardiac catheterisation?

Thus, nurses that are competent in the care of a patient post cardiac catheterisation are able to minimise mortality and morbidity rates for these patients within the post-operative period. To provide nurses with the knowledge and skill set to competently care for a patient post cardiac catheterisation.

Why is monitoring of the patient after cardiac catheterisation important?

Additionally, vigilant monitoring of the patient after cardiac catheterisation is fundamental for early identification and management of complications. Nurses who are able to promptly identify complications are in the optimal position to prompt critical action and improve patient outcomes.

What should you assess after cardiac catheterization?

Retroperitoneal bleedingAssess 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.More items...

How do you assess a cardiac catheterization?

During a cardiac catheterization, a doctor can:Locate narrowing or blockages in the blood vessels that could cause chest pain (angiogram)Measure pressure and oxygen levels in different parts of the heart (hemodynamic assessment)See how well the heart pumps blood (right or left ventriculogram)More items...•

What should I monitor before cardiac catheterization?

Your vital signs (heart rate, blood pressure, breathing rate, and oxygen level) will be monitored during the procedure. Several monitor screens in the room will show your vital signs, the images of the catheter being moved through your body into your heart, and the structures of your heart as the dye is injected.

What is the most common complication associated with cardiac catheterization?

Hematoma/Retroperitoneal Bleeding These are among the most common complications seen after cardiac catheterization procedures. Hematomas are usually formed following poorly controlled hemostasis post sheath removal.

Which complication of cardiac catheterization should the nurse monitor?

Perforation of heart or vessels. Stroke or death. Hematoma.

What is included in the care of the patient after a cardiac catheterization?

Wash the catheter insertion site at least once daily with soap and water. Place soapy water on your hand or washcloth and gently wash the insertion site; do not rub. Keep the area clean and dry when you are not showering. Do not use creams, lotions or ointment on the wound site.

When preparing a patient for a cardiac catheterization What are the responsibilities of the nurse?

Part Two Cardiac Cath Lab Nurse ResponsibilitiesAdminister patient medications.Assist in diagnostic procedures.Assist in interventional procedures.Be prepared for emergency situations.Circulate and scrub during cardiac catheterization and electrophysiology procedures.More items...

What does a heart catheterization show?

One procedure that is both a test AND a treatment is called cardiac catheterization. It can show your doctor how healthy your heart and blood vessels are, and treat heart valve problems, clogged arteries, and heart defects.

Which complication is associated with a low femoral arterial puncture?

A high or low femoral arterial puncture, multiple puncture attempts and prolonged clotting times can increase the risk of AV fistula formation.

What are 3 complications of angiogram procedure?

Potential risks and complications include:Heart attack.Stroke.Injury to the catheterized artery.Irregular heart rhythms (arrhythmias)Allergic reactions to the dye or medications used during the procedure.Kidney damage.Excessive bleeding.Infection.

What are the complications of a cardiac catheter?

Varying acute haemodynamic complications associated with the general anaesthetic that is required with a cardiac catheter. Vessel damage – can ultimately compromise the growth and function of the affected limb and complicate future catheter procedures. Bleeding- including hematoma.

What is a diagnostic catheter?

Diagnostic catheters are used to assess blood flow and pressures in the chambers of the heart, valves and coronary arteries and to assist in the diagnosis and management of congenital heart defects.

What is the procedure of insertion of a catheter into a vein or artery?

Cardiac catheterisation involves the insertion of a catheter into a vein or artery, usually from a groin or jugular access site, which is then guided into the heart. This procedure is performed for both diagnostic and interventional purposes.

What is the difference between ECG and hematoma?

ECG : Electrocardiograph records the electrical activity of the heart as a visual wave-formation. Arrhythmia: a general term that refers to any type of abnormal, irregular, or disorganized heartbeat. Hematoma: a collection of blood outside a blood vessel.

What is a Crash Course for a Cardiac Nurse?

Cardiac Nurse Crash Course from FreshRN® is your one-stop ultimate resource and online course, crafted specifically for brand new cardiac nurses. If you want to get ahead of the game so instead of merely surviving orientation, you’re thriving all the way through from day one to day done - this is the course for you.

What should the potassium level be for a cardiac patient?

Cardiac physicians always want to know what the potassium levels are. Patients should be well within the 3.0-5.5 range. 3. Do A Cardiac Assessment On The Patient. This is what you will do as you do the cardiac assessment on the patient at their bedside.

What are the causes of cardiac problems?

The three cardiac issues that normally arise are: 1 Electrical Abnormalities – the electrical system that tells the heart to beat. This shows itself in heart arrhythmias, dysrhythmias, or a-fib. 2 Structural Heart Problems – bad mitral valve regurgitation or heart muscle issues 3 Heart Blockages – blockages in vessels that supply the heart with blood (coronary artery blockages), this looks like a heart attack.

How to check vitals on a patient?

1. Look At The Cardiac Monitor. Refer back to the nurse sheet you received at report. I look at the telemetry monitor to make sure that it matches what I heard from report. 2. Look At The Patient’s Vitals, Labs, and Medications. I look for anything that might impact their vitals signs.

What happens if your heart rate falls outside of the parameters?

If their heart rate or blood pressure falls or jumps outside of the parameters, the physicians will have “as-needed” or PRN medications you can use.

What are the three cardiac issues that normally arise?

The three cardiac issues that normally arise are: Electrical Abnormalities – the electrical system that tells the heart to beat. This shows itself in heart arrhythmias, dysrhythmias, or a-fib.

What is cardiac overlap?

Cardiac overlaps with other issues. Overlap with pulmonary and vascular issues in other parts of the body. Take note of overlapping issues before you see your patient. Working in a cardiac unit you may see vascular patients as well, so you need to ask these questions before you finish the report.

How to prepare a patient for a cardiac procedure?

To prepare the patient, teach him about the procedure and answer his questions. Provide booklets, videos, or other educational tools to reinforce learning . The cardiologist will discuss benefits and risks, such as dysrhythmias, bleeding, stroke, or MI. Make sure the patient has provided informed consent.

How to tell if contrast media is injected?

He'll be awake throughout the procedure and may be asked to cough or take a deep breath at certain times. Tell him to immediately report any unusual symptoms, such as chest discomfort or trouble breathing. When contrast media is injected into the left ventricle, he may feel warm or flushed for up to a minute.

Is cardiac catheterization an outpatient procedure?

Depending on the facility and the patient's condition, cardiac catheterization may be performed as either an inpatient or an outpatient procedure. Indications for cardiac catheterization include definitive or suspected myocardial ischemia, syncope, valvular heart disease, and acute myocardial infarction (MI).

Introduction

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Aim

Definition of Terms

History

Routine Management

Assessment and Management of Complications

Investigations

Companion Documents

• On arrival to ward
  1. Assess and record patient observations - these should include: 2. Neurological observations: Include assessment of behavior (alertness, lethargy, irritability), limb strength and range of motion, facial symmetry, Glasgow Coma Score 3. Maintain continuous cardiorespiratory monitor…
• Anticoagulation post cardiac catheterisation
  1. Aspirin may be ordered for device closures - be aware if medical team has requested such medications and when it should be commenced. 2. Heparin infusion post procedure is dependent on: 2.1. If the patient was on anticoagulation (eg: Warfarin) pre procedure. A heparin infusion wil…

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References