Professional Documents
Culture Documents
SEDENTARY LIFESTYLES, AND OBESITY. OTHER RISK FACTORS INCLUDE: HYPERTENSION, DIABETES
MELLITUS, FAMILY HISTORY, MENOPAUSE, GENDER (MALES ARE AT GREATER RISK), AND/OR LEFT VENTRICULAR
HYPERTROPHY.
2. IND ICATE THE P URP OSE OF A HEART CAT HETER IZATI ON.
HEART CATHETERIZATION CAN BE PERFORMED IN ANY CHAMBER OF THE HEART OR GREAT VESSELS. CATHETERIZATIONS ARE
DONE TO DIAGNOSE ABNORMALITIES OR PROBLEMS WITH THE HEART, THEY ARE ALSO USED FOR INTERVENTIONAL TREATMENTS AND
* ESTIMATE THE CARDIAC EJECTION FRACTION AND THE MOTION OF THE HEART WALL
RIGHT PATIENT AND THE RIGHT PROCEDURE ARE TO BE DONE AT THE RIGHT TIME, AND PREPARATION OF THE PATIENT BOTH
PHYSICALLY AND MENTALLY. MENTAL PREPARATION OF THE PATIENT INCLUDES: ANSWERING ANY QUESTIONS CONCERNING THE
PROCEDURE, ENSURING THE PATIENT UNDERSTANDS THE PROCEDURE AND WHY IT IS BEING DONE, WHAT THE PATIENT WILL
EXPERIENCE POST-CATH, DOCUMENTING PATIENT HISTORY, ALLERGIES, CURRENT MEDICATIONS, THE NURSE IS ALSO RELIED UPON
TO ADMINISTER A SEDATIVE IF THE PATIENT IS ANXIOUS AND THE PHYSICIAN HAS ORDERED ONE PRIOR TO THE PROCEDURE.
PHYSICAL PREPARATION INCLUDES: TAKING VITAL SIGNS TO BE USED AS A BASE-LINE FOR COMPARISON FOR POST-CATH VITALS,
TEACHING THE PATIENT PAIN MANAGEMENT, HOW TO CARE FOR THE INSERTION SITE, RESTRICTION(S) ON DIET OR/AND ACTIVITY,
PROPER MEDICATION ADMINISTRATION, POST PROCEDURE CARE, AND FOLLOW UP APPOINTMENTS. THE NURSE IS ALSO RESPONSIBLE
FOR SHAVING THE GROIN AREA PRIOR TO THE PROCEDURE, STARTING AN IV LINE AND ADMINISTERING FLUIDS IF ORDERED.
DURING THE PROCEDURE THE NURSE MAY BE RESPONSIBLE FOR MONITORING VITAL SIGNS, CARDIAC MONITOR, THE PATIENT'S
RESPONSE TO ANESTHESIA, LEVEL OF CONSCIOUSNESS, AND ALSO ASSESSING THE PATIENT FOR ANY SIGNS OF COMPLICATIONS,
AND THE VITAL SIGNS HAVE STABILIZED AND COMPARABLE WITH THE BASE-LINE VITALS TAKEN PRIOR TO THE PROCEDURE. THE
NURSE USUALLY ASSESSES THE PATIENT EVERY 15 MINUTES FOR THE FIRST HOUR OR TWO. THE DRESSING IS ASSESSED FREQUENTLY
TO MONITOR FOR ANY SIGNS OF EXCESS BLEEDING OR OTHER COMPLICATIONS. THE NURSE MUST MAINTAIN PRESSURE ON THE
INSERTION SITE UNTIL BLEEDING STOPPED AND A CLOT HAS FORMED ON THE SURFACE. ASSESSMENT OF THE PATIENT POST-CATH
MAY INCLUDE: NOTING ANY CHANGES IN BEHAVIOR, LEVEL OF CONSCIOUSNESS, PAIN LEVEL, DIMINISHING PULSE(S) DISTAL TO THE
INSERTION SITE, THROMBOSIS FORMATION, HEMATOMA FORMATION, EMBOLI, AND ANY OTHER POST-OP COMPLICATIONS THAT
MAY OCCUR. THE PATIENT IS TOLD TO REPORT ANY FEELING OF INCREASED TIGHTNESS AT THE DRESSING AS THIS MAY INDICATE A
HEMATOMA FORMING. TEACHING THE PATIENT TO AVOID FLEXING THE EXTREMITY OR HYPER EXTENDING IT FOR AT LEAST 12
HOURS BUT UP TO 24 HOURS SO THEY MAY AVOID ANY INJURY. THE PATIENT AND FAMILY/CAREGIVER(S) ARE TAUGHT POST-
PROCEDURE CARE, MEDICATION ADMINISTRATION, ACTIVITY RESTRICTIONS AND FOR HOW LONG, DIET RESTRICTIONS (IF ANY),
AND THE IMPORTANCE OF GOING TO THE FOLLOW UP APPOINTMENT WITH THEIR PHYSICIAN. AFTER THE NURSE HAS ENSURED THE
SAFETY OF THE PATIENT FROM THE BEGINNING TO THE END OF THE PROCEDURE, THEY MUST DISCHARGE THE PATIENT INTO
RESPONSIBLE HANDS AS THE PATIENT WILL NOT BE ABLE/ALLOWED TO DRIVE THEMSELVES HOME. SOME FACILITIES REQUIRE THE
NURSES EVEN CALL THE PATIENTS 1 - 2 DAYS POST-OP TO ENSURE NO COMPLICATIONS HAVE OCCURRED OR ANY CONCERNS BY