Post-Cardiac Catheterization

Nursing Care

Hero Sunandar, SKep, Ners

Nursing Care Post Intervention

Prevention or
Obtaining vital signs
Education of the detection of
and blood test
patient in the lab vascular
results
accesscomplications

Anxiety
Hydration & diuresis Pain management
management
Education of the Patient in the CathLab

The Any chest pain or discomfort they may be feeling

patient
Pain or bleeding at the access site
should
report
Shortness of breath
to
his/her
Doubts
nurse
Post Procedure Vital Signs & Blood Tests
Post-PCI ECG monitoring is done to detect ST
abnormalities and arrhythmias

Blood pressure and O2 saturation levels are observed

ACT should be <180 seconds before sheath removal

Blood glucose should be monitored

Hematology and electrolytes should be repeated

ancompared with previous valuesd
Preventing Vascular Access Site
Complications
Femoral Radial
approach approach
The amount of time the
patient should remain at
complete bed rest without Keep the affected hand, wrist,
bending the knee is dependent and arm still for 2-4 hours and,
on the local practice and again, follow local practice
whether a percutaneous
closure device was used
Preventing Vascular Access Site
Complications
Record French size and location of punctures

Check access site periodically to detect signs of complications, such as

bleeding, hematoma or swelling
Groin and circulation observations include pedal pulses, color, warmth, movement and sensation
of the affected leg and foot

Be aware and check for retroperitoneal bleed

Patient stability, heart rate, Pain at the site, back, or
Diagnosis: abdominal CT Scan
blood pressure rectum
Hydration & Diuresis
Patients may have oral fluids and normal medication, but
should not eat until after the sheath is removed

Urinary retention may occur while the sheath is in place

• Monitor urine output and signs of bladder distention or Discomfort

• A urinary catheter may need to be inserted

Oral hydration may be helpful in preventing contrast induced

nephropathy
Pain Management
It is important Patients should
Monitor the
to keep the not be suffering
patient’s pain
patient from pain post
level
comfortable PCI

If the patient has

been prescribed
medication,
administer it as
instructed
Anxiety Management

Potential causes of patient’s anxiety

• Pain
• Future CABG
• Lack of information/education
• Worried about their family

Try to uncover and address the patient’s needs, thereby

reducing anxiety
 Ensure patient comfort and safety

Prevent and detect vascular complications

Monitor the patients hemodynamics and vital signs

Summary Give the patient adequate information and education

Educate the patient on how to recognise the signs

and symptoms of angina and how to administer

adequate treatment

Detect and treat any pain or anxiety