Post Cardiac Catheter Nursing Care Hayley Ravenscroft Staff
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Post Cardiac Catheter Nursing Care Hayley Ravenscroft Staff Nurse
Warding of patient • Patient is warded back onto the ward or into HDU • Handover from recovery team or anaesthetist • Informed of puncture sites and procedure • Initial set of observations
Catheter Observations • Specific documentation and observations done post procedure • This includes. . . • Observing the puncture sites for bleeding, bruising • Observing the limb for colour, warmth and CRT • Feeling for pulse in the limb • Catheter observations frequency is different… • Every 15 mins for first hour • Every 30 mins for second hour • Every hour for 4 hours after
Medicine Management • RVOT stents require anticoagulation • Patients come back on a heparin infusion • Commence aspirin when feeding/eating • 3 day overlap of aspirin and heparin • Daily APTT for heparin management
Discharge • Patients with RVOT stents are moderate risk patients • Parents practice preparing and administering medicines • Require additional discharge needs. . . • Weekly oxygen saturations and weight with community nurse • BLS for parents/carers • Open access to local hospital • Regular clinic appointments with cardiologist
