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.. Which side effect would the nurse monitor for when caring for patient with coronary artery disease who is prescribed carvedilol?Adverse Effects
These include dizziness, lightheadedness, fatigue, and headaches. Other adverse effects are related to the beta-blocking properties, including dyspnea, bronchospasm, bradycardia, malaise, and asthenia.
What are the complications of coronary artery disease?Complications. Chest pain (angina). When the coronary arteries narrow, the heart may not get enough blood when it needs it most — like when exercising. ... . Heart attack. A heart attack can happen if a cholesterol plaque breaks open and causes a blood clot to form. ... . Heart failure. ... . Irregular heart rhythms (arrhythmias).. What are the major complications of coronary artery disease CNA?What are the complications of coronary artery disease?. Heart failure. Over time, CAD can lead to heart failure. ... . Abnormal heartbeat. An abnormal heartbeat is called an arrhythmia. ... . Chest pain. ... . Heart attack. ... . Sudden death. ... . Related arterial diseases.. Which is a symptom of coronary artery disease?Angina, or chest pain and discomfort, is the most common symptom of CAD. Angina can happen when too much plaque builds up inside arteries, causing them to narrow. Narrowed arteries can cause chest pain because they can block blood flow to your heart muscle and the rest of your body.
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