SlideShare una empresa de Scribd logo
1 de 5
Descargar para leer sin conexión
C-60 Post Coronary Angiography (Cardiac Catheterization) Care                         Page 1 of 5


Written: March 2005                                   Nursing Policy C-60
Revised: 3/08; 2/11                                   LSUHSC – Shreveport, LA
______________________________________________________________________________

     POST CORONARY ANGIOGRAPHY (CARDIAC CATHETERIZATION) CARE


PURPOSE:

To provide guidelines for the management of patients post cardiac catheterization.

DEFINITION:

Cardiac catheterization is an invasive procedure involving the insertion of a radiopaque catheter
via the peripheral artery or vein into the heart. Cardiac catheterization is used in the diagnosis
and evaluation of congenital, rheumatic, and coronary artery lesions, thrombus in coronary
vessels, and to evaluate systolic and diastolic cardiac function.

POLICY:

I.   The physician shall be responsible for:

     A. Completing Post Cardiac Catheterization orders.

II. The nurse shall be responsible for:

     A. Implementing all Post Cardiac Catheterization orders.
     B. Educating patient/family about Post Cardiac Catheterization care.



RESPONSIBLE
PARTY                               ACTION                                RATIONALE
MD                      1. Completes Post Cardiac
                           Catheterization orders.



RN, RN Applicant,       1. Monitor vital signs. The
LPN                        physician will provide
                           parameters to follow for vital
                           signs.
C-60 Post Coronary Angiography (Cardiac Catheterization) Care                    Page 2 of 5



RN, RN Applicant,    2.   Instruct the patient/family to
LPN                       notify the nursing staff
                          immediately for chest pain,
                          shortness of breath, and/or any
                          other changes. If the patient
                          complains of chest pain or
                          shortness of breath notify the
                          physician immediately and
                          obtain vital signs every five
                          minutes. Monitor the patient
                          closely for typical and
                          atypical cardiac symptoms
                          (i.e. left arm pain/numbness,
                          jaw pain, etc.). Contact the
                          START or the Code 99/Blue
                          Team as needed. Document
                          in the medical record.

MD, RN,           3.      Assesses catheter site for   3. To monitor the patient for
RN Applicant, LPN         hematoma, bleeding, pain or     bleeding and other
                          swelling. The physician         complications.
                          should be notified
                          immediately with any changes
                          in the catheter site. For
                          excessive bleeding firm
                          pressure should be applied
                          until the MD arrives.
                          Document in the medical
                          record.

                     4.   Monitors distal pulse, skin        4. To monitor blood flow to
                          color, and warmth of the              affected extremity.
                          extremity distal to the catheter
                          site. The physician should be
                          notified immediately of
                          decreased or absent pulses
                          and any changes in skin
                          color/temperature.
                          Document in the medical
                          record.
C-60 Post Coronary Angiography (Cardiac Catheterization) Care                     Page 3 of 5


MD, RN,           5.      If a sandbag is used instruct the 5. To prevent bleeding.
RN Applicant, LPN         patient to leave the sandbag in
                          place. Instruct the
                          patient/family how long the
                          patient is to remain on bedrest,
                          keeping the affected extremity
                          straight. Instruct the patient not
                          to elevate the head of the bed or
                          ambulate until the nurse
                          instructs the patient to do so.
                          Document teaching in the
                          medical record.

                     6.   Instruct the patient and family    6. To prevent infection.
                          to leave the dressing in place for
                          twenty-four hours. If the
                          dressing becomes visibly soiled
                          notify the physician and obtain
                          an order to change the dressing
                          using aseptic technique.
                          Document in the medical
                          record.

                     7.   Assesses the patient for post-
                          procedure pain. Provide pain
                          interventions as needed and
                          document.

                     8.   For patients not on fluid           8. To help the body eliminate
                          restriction encourage increased        the contrast dye used during
                          fluid intake for the first 6 to 8      the procedure.
                          hours.

                     9.   Educate the patient/family on       9. To decrease patient/family
                          routine post cardiac                   anxiety.
                          catheterization care (i.e. vital
                          signs, activity, diet, etc.) and
                          document teaching.

                     10. Document complications in
                         narrative/progress notes,
                         including physician notification,
                         interventions and outcome of
                         interventions.
C-60 Post Coronary Angiography (Cardiac Catheterization) Care                   Page 4 of 5


MD                    11. Provides the patient/family with
                          updates on how the procedure
                          went and when to expect test
                          results.


REFERENCES:

Cardiac Cath Laboratory Policy 8.3.1: Education of Patient and Family

Discharge Instructions: Heart Catheterization Lab. Form S/N 6064

Infection Control Policy: IC16.0 Methods to Prevent Nosocomial Intravascular Device Related
Infections.

Chulay, M., Burns, S., (2007) AACN Essentials of Progressive Care Nursing. McGraw-Hill Co.
Pages 187-188.
C-60 Post Coronary Angiography (Cardiac Catheterization) Care   Page 5 of 5




Jamie Jett, MBA, RN                                             Date
Administrative Nursing Director
Psychiatry, Coordinated Care and
Professional Practice




Jean DiGrazia, MBA, RN                                          Date
Assistant Hospital Administrator and CNO
Patient Care Services

Más contenido relacionado

La actualidad más candente

Chapter 5 presentation
Chapter 5 presentationChapter 5 presentation
Chapter 5 presentationJoriLenise
 
Vascular complications post cardiac catherization
Vascular complications post cardiac catherizationVascular complications post cardiac catherization
Vascular complications post cardiac catherizationhcondry
 
Critical Pathways For Cardiac Surgery
Critical Pathways For  Cardiac SurgeryCritical Pathways For  Cardiac Surgery
Critical Pathways For Cardiac Surgerymaltiaziz24
 
Cardiac catheterisation Laaboratory - Altaf Faiyaz
Cardiac catheterisation Laaboratory - Altaf FaiyazCardiac catheterisation Laaboratory - Altaf Faiyaz
Cardiac catheterisation Laaboratory - Altaf Faiyazaltaf_faiyaz
 
PCI complications
PCI complicationsPCI complications
PCI complicationsIqbal Dar
 
Angioplasty
AngioplastyAngioplasty
Angioplastymattksee
 
Cathlab procedures, it's contains what are the procedure doing in the cathla...
 Cathlab procedures, it's contains what are the procedure doing in the cathla... Cathlab procedures, it's contains what are the procedure doing in the cathla...
Cathlab procedures, it's contains what are the procedure doing in the cathla...jagan _jaggi
 
Pulmonary artery catheterization
Pulmonary artery catheterization Pulmonary artery catheterization
Pulmonary artery catheterization Toufiqur Rahman
 
Management of Cardiac Surgery Patients and role of PA's
Management of Cardiac Surgery Patients and role of PA'sManagement of Cardiac Surgery Patients and role of PA's
Management of Cardiac Surgery Patients and role of PA'sNeil Daswani
 
Post cardiac surgery monitoring & follow up
Post cardiac surgery monitoring & follow upPost cardiac surgery monitoring & follow up
Post cardiac surgery monitoring & follow upRubayet Anwar
 
Mechanical Valve Thrombosis
Mechanical Valve ThrombosisMechanical Valve Thrombosis
Mechanical Valve Thrombosisescardio
 
Right heart catheterization
 Right heart catheterization Right heart catheterization
Right heart catheterizationToufiqur Rahman
 
Angioplasty and-vascular-stenting
Angioplasty and-vascular-stentingAngioplasty and-vascular-stenting
Angioplasty and-vascular-stentingAdan Sawalmeh
 
Cath Lab: A presentation about all the aspects regarding management
Cath Lab: A presentation about all the aspects regarding managementCath Lab: A presentation about all the aspects regarding management
Cath Lab: A presentation about all the aspects regarding managementAbhishek Tonpe
 

La actualidad más candente (20)

Chapter 5 presentation
Chapter 5 presentationChapter 5 presentation
Chapter 5 presentation
 
Angiography
AngiographyAngiography
Angiography
 
Vascular complications post cardiac catherization
Vascular complications post cardiac catherizationVascular complications post cardiac catherization
Vascular complications post cardiac catherization
 
Cabg Teaching
Cabg TeachingCabg Teaching
Cabg Teaching
 
Critical Pathways For Cardiac Surgery
Critical Pathways For  Cardiac SurgeryCritical Pathways For  Cardiac Surgery
Critical Pathways For Cardiac Surgery
 
Cardiac catheterisation Laaboratory - Altaf Faiyaz
Cardiac catheterisation Laaboratory - Altaf FaiyazCardiac catheterisation Laaboratory - Altaf Faiyaz
Cardiac catheterisation Laaboratory - Altaf Faiyaz
 
PCI complications
PCI complicationsPCI complications
PCI complications
 
Angioplasty
AngioplastyAngioplasty
Angioplasty
 
Cathlab procedures, it's contains what are the procedure doing in the cathla...
 Cathlab procedures, it's contains what are the procedure doing in the cathla... Cathlab procedures, it's contains what are the procedure doing in the cathla...
Cathlab procedures, it's contains what are the procedure doing in the cathla...
 
Pulmonary artery catheterization
Pulmonary artery catheterization Pulmonary artery catheterization
Pulmonary artery catheterization
 
Cardiac catheterization
Cardiac catheterizationCardiac catheterization
Cardiac catheterization
 
Coronary angioplasty : simplified
Coronary angioplasty  : simplifiedCoronary angioplasty  : simplified
Coronary angioplasty : simplified
 
Cardiac surgery and ptca
Cardiac surgery and ptcaCardiac surgery and ptca
Cardiac surgery and ptca
 
Management of Cardiac Surgery Patients and role of PA's
Management of Cardiac Surgery Patients and role of PA'sManagement of Cardiac Surgery Patients and role of PA's
Management of Cardiac Surgery Patients and role of PA's
 
Post cardiac surgery monitoring & follow up
Post cardiac surgery monitoring & follow upPost cardiac surgery monitoring & follow up
Post cardiac surgery monitoring & follow up
 
Mechanical Valve Thrombosis
Mechanical Valve ThrombosisMechanical Valve Thrombosis
Mechanical Valve Thrombosis
 
Right heart catheterization
 Right heart catheterization Right heart catheterization
Right heart catheterization
 
Angioplasty and-vascular-stenting
Angioplasty and-vascular-stentingAngioplasty and-vascular-stenting
Angioplasty and-vascular-stenting
 
Cath Lab: A presentation about all the aspects regarding management
Cath Lab: A presentation about all the aspects regarding managementCath Lab: A presentation about all the aspects regarding management
Cath Lab: A presentation about all the aspects regarding management
 
3. monitoring & devices used in icu ccu
3. monitoring & devices used in icu ccu3. monitoring & devices used in icu ccu
3. monitoring & devices used in icu ccu
 

Similar a Cardiac cath.

CARDIAC CATHETERIZATION NURSING CARE
CARDIAC CATHETERIZATION NURSING CARE CARDIAC CATHETERIZATION NURSING CARE
CARDIAC CATHETERIZATION NURSING CARE Isabel Paulo
 
Abdominal Aortic Aneurysm Nursing Care Plan and Management
Abdominal Aortic Aneurysm Nursing Care Plan and ManagementAbdominal Aortic Aneurysm Nursing Care Plan and Management
Abdominal Aortic Aneurysm Nursing Care Plan and ManagementNursing Path
 
Cardiac catherization
Cardiac catherizationCardiac catherization
Cardiac catherizationMansoor Ahmad
 
5. INTRACRANIAL SURGERY.nursing processpptx
5. INTRACRANIAL SURGERY.nursing processpptx5. INTRACRANIAL SURGERY.nursing processpptx
5. INTRACRANIAL SURGERY.nursing processpptxHayatALAKOUM
 
dental management of medically complex patients
dental management of medically complex patientsdental management of medically complex patients
dental management of medically complex patientsMuhannad Abrike
 
Complications of Post Angioplasty Bleeding Essay Paper.docx
Complications of Post Angioplasty Bleeding Essay Paper.docxComplications of Post Angioplasty Bleeding Essay Paper.docx
Complications of Post Angioplasty Bleeding Essay Paper.docx4934bk
 
preoperative preparation of surgical patient
preoperative preparation of surgical patient preoperative preparation of surgical patient
preoperative preparation of surgical patient tsedalemekete1
 
Preoperative preparation and postoperative care
Preoperative preparation and postoperative carePreoperative preparation and postoperative care
Preoperative preparation and postoperative careDrAbdifatahAbdiAli
 
Dental management of medically complex patients
Dental management of medically complex patientsDental management of medically complex patients
Dental management of medically complex patientsorly villa
 
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMADISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMAAlyciaGold776
 
Medical surgical exam.docx
Medical surgical exam.docxMedical surgical exam.docx
Medical surgical exam.docxOlayaMohamed
 
General Preoperative &Postoperative Care of Surgical Patients
General Preoperative &Postoperative Care of Surgical PatientsGeneral Preoperative &Postoperative Care of Surgical Patients
General Preoperative &Postoperative Care of Surgical PatientsOmarAlaidaroos3
 
Autonomic Dysreflexia
Autonomic DysreflexiaAutonomic Dysreflexia
Autonomic DysreflexiaJane Sarnicki
 
Autonomic dysreflexia in spinal cord injury
Autonomic dysreflexia in spinal cord injuryAutonomic dysreflexia in spinal cord injury
Autonomic dysreflexia in spinal cord injuryJSars
 

Similar a Cardiac cath. (20)

CARDIAC CATHETERIZATION NURSING CARE
CARDIAC CATHETERIZATION NURSING CARE CARDIAC CATHETERIZATION NURSING CARE
CARDIAC CATHETERIZATION NURSING CARE
 
Abdominal Aortic Aneurysm Nursing Care Plan and Management
Abdominal Aortic Aneurysm Nursing Care Plan and ManagementAbdominal Aortic Aneurysm Nursing Care Plan and Management
Abdominal Aortic Aneurysm Nursing Care Plan and Management
 
Cardiac catherization
Cardiac catherizationCardiac catherization
Cardiac catherization
 
PICU cardiac guide - PICUDoctor.org
PICU cardiac guide - PICUDoctor.orgPICU cardiac guide - PICUDoctor.org
PICU cardiac guide - PICUDoctor.org
 
Pathogroup2
Pathogroup2Pathogroup2
Pathogroup2
 
5. INTRACRANIAL SURGERY.nursing processpptx
5. INTRACRANIAL SURGERY.nursing processpptx5. INTRACRANIAL SURGERY.nursing processpptx
5. INTRACRANIAL SURGERY.nursing processpptx
 
Grey book 55th
Grey book 55thGrey book 55th
Grey book 55th
 
Chapter 008
Chapter 008Chapter 008
Chapter 008
 
dental management of medically complex patients
dental management of medically complex patientsdental management of medically complex patients
dental management of medically complex patients
 
2 safety in anesthesia
2 safety in anesthesia2 safety in anesthesia
2 safety in anesthesia
 
Complications of Post Angioplasty Bleeding Essay Paper.docx
Complications of Post Angioplasty Bleeding Essay Paper.docxComplications of Post Angioplasty Bleeding Essay Paper.docx
Complications of Post Angioplasty Bleeding Essay Paper.docx
 
Brain Tumors
Brain TumorsBrain Tumors
Brain Tumors
 
preoperative preparation of surgical patient
preoperative preparation of surgical patient preoperative preparation of surgical patient
preoperative preparation of surgical patient
 
Preoperative preparation and postoperative care
Preoperative preparation and postoperative carePreoperative preparation and postoperative care
Preoperative preparation and postoperative care
 
Dental management of medically complex patients
Dental management of medically complex patientsDental management of medically complex patients
Dental management of medically complex patients
 
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMADISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
 
Medical surgical exam.docx
Medical surgical exam.docxMedical surgical exam.docx
Medical surgical exam.docx
 
General Preoperative &Postoperative Care of Surgical Patients
General Preoperative &Postoperative Care of Surgical PatientsGeneral Preoperative &Postoperative Care of Surgical Patients
General Preoperative &Postoperative Care of Surgical Patients
 
Autonomic Dysreflexia
Autonomic DysreflexiaAutonomic Dysreflexia
Autonomic Dysreflexia
 
Autonomic dysreflexia in spinal cord injury
Autonomic dysreflexia in spinal cord injuryAutonomic dysreflexia in spinal cord injury
Autonomic dysreflexia in spinal cord injury
 

Cardiac cath.

  • 1. C-60 Post Coronary Angiography (Cardiac Catheterization) Care Page 1 of 5 Written: March 2005 Nursing Policy C-60 Revised: 3/08; 2/11 LSUHSC – Shreveport, LA ______________________________________________________________________________ POST CORONARY ANGIOGRAPHY (CARDIAC CATHETERIZATION) CARE PURPOSE: To provide guidelines for the management of patients post cardiac catheterization. DEFINITION: Cardiac catheterization is an invasive procedure involving the insertion of a radiopaque catheter via the peripheral artery or vein into the heart. Cardiac catheterization is used in the diagnosis and evaluation of congenital, rheumatic, and coronary artery lesions, thrombus in coronary vessels, and to evaluate systolic and diastolic cardiac function. POLICY: I. The physician shall be responsible for: A. Completing Post Cardiac Catheterization orders. II. The nurse shall be responsible for: A. Implementing all Post Cardiac Catheterization orders. B. Educating patient/family about Post Cardiac Catheterization care. RESPONSIBLE PARTY ACTION RATIONALE MD 1. Completes Post Cardiac Catheterization orders. RN, RN Applicant, 1. Monitor vital signs. The LPN physician will provide parameters to follow for vital signs.
  • 2. C-60 Post Coronary Angiography (Cardiac Catheterization) Care Page 2 of 5 RN, RN Applicant, 2. Instruct the patient/family to LPN notify the nursing staff immediately for chest pain, shortness of breath, and/or any other changes. If the patient complains of chest pain or shortness of breath notify the physician immediately and obtain vital signs every five minutes. Monitor the patient closely for typical and atypical cardiac symptoms (i.e. left arm pain/numbness, jaw pain, etc.). Contact the START or the Code 99/Blue Team as needed. Document in the medical record. MD, RN, 3. Assesses catheter site for 3. To monitor the patient for RN Applicant, LPN hematoma, bleeding, pain or bleeding and other swelling. The physician complications. should be notified immediately with any changes in the catheter site. For excessive bleeding firm pressure should be applied until the MD arrives. Document in the medical record. 4. Monitors distal pulse, skin 4. To monitor blood flow to color, and warmth of the affected extremity. extremity distal to the catheter site. The physician should be notified immediately of decreased or absent pulses and any changes in skin color/temperature. Document in the medical record.
  • 3. C-60 Post Coronary Angiography (Cardiac Catheterization) Care Page 3 of 5 MD, RN, 5. If a sandbag is used instruct the 5. To prevent bleeding. RN Applicant, LPN patient to leave the sandbag in place. Instruct the patient/family how long the patient is to remain on bedrest, keeping the affected extremity straight. Instruct the patient not to elevate the head of the bed or ambulate until the nurse instructs the patient to do so. Document teaching in the medical record. 6. Instruct the patient and family 6. To prevent infection. to leave the dressing in place for twenty-four hours. If the dressing becomes visibly soiled notify the physician and obtain an order to change the dressing using aseptic technique. Document in the medical record. 7. Assesses the patient for post- procedure pain. Provide pain interventions as needed and document. 8. For patients not on fluid 8. To help the body eliminate restriction encourage increased the contrast dye used during fluid intake for the first 6 to 8 the procedure. hours. 9. Educate the patient/family on 9. To decrease patient/family routine post cardiac anxiety. catheterization care (i.e. vital signs, activity, diet, etc.) and document teaching. 10. Document complications in narrative/progress notes, including physician notification, interventions and outcome of interventions.
  • 4. C-60 Post Coronary Angiography (Cardiac Catheterization) Care Page 4 of 5 MD 11. Provides the patient/family with updates on how the procedure went and when to expect test results. REFERENCES: Cardiac Cath Laboratory Policy 8.3.1: Education of Patient and Family Discharge Instructions: Heart Catheterization Lab. Form S/N 6064 Infection Control Policy: IC16.0 Methods to Prevent Nosocomial Intravascular Device Related Infections. Chulay, M., Burns, S., (2007) AACN Essentials of Progressive Care Nursing. McGraw-Hill Co. Pages 187-188.
  • 5. C-60 Post Coronary Angiography (Cardiac Catheterization) Care Page 5 of 5 Jamie Jett, MBA, RN Date Administrative Nursing Director Psychiatry, Coordinated Care and Professional Practice Jean DiGrazia, MBA, RN Date Assistant Hospital Administrator and CNO Patient Care Services