IntroductionCardiac 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. 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. Interventional catheters are used as an alternative to open-heart surgery when possible and are involved in closing ventricular and atrial septal defects via catheter device closure, expansion of narrowed passages (pulmonary
stenosis), stent placement, ablation of abnormal electrical pathways and widening of existing openings (balloon atrial septectomy). Show
AimTo provide nurses with the knowledge and skill set to competently care for a patient post cardiac catheterisation. Definition of Terms
AssessmentRefer to Nursing Assessment nursing clinical practice guideline (Link). HistoryInclude the following when taking the history of a child post cardiac catheterisation:
Routine ManagementOn arrival to ward
Anticoagulation post cardiac catheterisation
Assessment and Management of ComplicationsComplications:
Hematoma
Arrhythmia
Thrombus
Retroperitoneal bleeding
Stroke
Escalation of care in relation to complications associated with cardiac catheterisation In relation to above complications listed when caring for a patient post a cardiac catheter, see the following process of escalation of care as per
protocol & following link: Rapid review:
MET criteria – 22 22, ward, department, level, building Catheterisation fellow - office hours: pager # 5719, after hours: pager # 4044. InvestigationsIn children who undergo diagnostic cardiac catheters no investigations are typically required unless complications are suspected.
Companion DocumentsNursing Clinical Guidelines
Evidence TableView the evidence table for the Care of the patient post cardiac catheterisation nursing guideline here. References
Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Charmaine Cini, Nurse Educator, Koala Ward, and approved by the Nursing Clinical Effectiveness Committee. Updated December 2020.. What is the nurses priority action for a client with this ECG tracing?Assess airway, breathing, and level of consciousness. The first action that the nurse should take when ventricular tachycardia is observed is to assess the client's airway, breathing, and level of consciousness.
Which action will the nurse perform when a client is in ventricular fibrillation?Emergency treatment for ventricular fibrillation includes: Cardiopulmonary resuscitation (CPR). CPR mimics the pumping motion of the heart. It keeps blood flowing through the body.
What is the first action that the nurse should implement when entering the client's room?1. Knock on the door, identify yourself, and state what you plan to do.
Which treatment option will the nurse anticipate the need to teach the client about when caring for a client with symptomatic bradycardia?Clients with sinus bradycardia can be asymptomatic or symptomatic. CORRECT. Atropine is the treatment for symptomatic sinus bradycardia.
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