Cardiac Catheterization

  1. What needs to be done to prepare for a cardiac catheterization?
    • Teach about the procedure, possible interventions, and post procedure care.
    • Answer questions
    • Have informed consent signed AFTER cardiologist discusses benefits and risks with patient
    • Assess for allergies (especially iodine & fish)
    • Assess for medication allergies (including lidocaine)
    • Orders may include fasting for 3 to 8 hours before the procedure
    • Withhold or decrease dosages of scheduled medications
    • Establish a peripheral IV line
    • Obtain lab tests (K, BUN, Creatinine), CXR, ECG
    • Have patient void
    • May wear dentures & glasses
    • Administer analgesics, sedatives or tranquilizers as directed
    • Mucomyst
  2. What needs to be known about during the procedure?
    • Takes anywhere from 30 minutes to 1 hour
    • May receive IV meds for sedation as needed
    • May receive heparin for anticoagulation and nitroglycerin to expand coronary vessels
    • Procedure takes place in a cool, darkened room
    • Will lie on a special table where X-rays can be taken
    • Will be attached to equipment for continuous cardiac, blood pressure, and pulse oximetry monitoring
    • Will be awake throughout the procedure and may be asked to cough or take a deep breath at times
    • Should report unusual symptoms (angina) immediately
    • When contrast material injected into the left ventricle, may experience a hot flushing sensation, nausea or chest pain lasting about 10 heart beats
    • After the procedure, the catheters are removed and bleeding controlled with direct pressure or with vascular closure device
    • will be continuously assessed and monitored in a post-cardiac catheterization recovery area
    • Usually discharged within 6 to 8 hours of completion of the procedure
  3. What needs to be known after a cardiac catheterization?
    • Assess for chest pain/discomfort, nausea and pain at cath site, lower abdominal or low back pain.
    • Provide medications as indicated.
    • Review physician's orders including activity restrictions and s/s of complications to include MI, stroke, and insertion-site bleeding or infection
    • Maintain patient on bed rest
    • Keep the affected extremity immobile
    • Observe insertion site for bleeding or hematoma, especially if on anticoagulant therapy
    • Mark hematoma with a marker around outer perimeter to aid in assessing for an increase in bleeding
    • Maintain head of bed elevation, no higher than 30 degrees
    • Monitor peripheral pulses, BP, pulse, color & sensation
    • Observe cardiac rhythm
    • Encourage fluid intake
    • Monitor I&O
    • Observe for adverse reactions to dye
  4. How often do you assess a patient after a cardiac cath?
    • q15 min X 4
    • q30 min X 4
    • q 1 hr X 4
    • q 2 hrs after
Card Set
Cardiac Catheterization
cardiac catheterization