4 Cardiac Catheterization Nursing Care Plans

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Cardiac catheterization is an invasive procedure in which a small flexible catheter is inserted through a vein or artery (usually the femoral vein) into the heart for diagnostic and therapeutic purposes. It is usually done with angiography as radiopaque contrast media is injected through the catheter and visualization of the blood flow is seen on fluoroscopic monitors. Catheterization allows measurement of blood gases and pressures within the heart chambers and great vessels; measurement of cardiac output; and detection of anatomic defects such as septal defects or obstruction to blood flow.

Therapeutic, or interventional, cardiac catheterizations use balloon angioplasty to correct such defects as stenotic valves or vessels, aortic obstruction (particularly re-coarctation of the aorta), and closure of patent ductus arteriosus.

Nursing Care Plans

Nursing care planning goals for a child who will undergo cardiac catheterization include promoting adequate perfusion, alleviating fear and anxiety, providing teaching and information, and preventing injury. Close monitoring of a child post cardiac catheterization is also crucial for the early identification of complications that will minimize mortality and morbidity rates.

Here are four nursing care plans (NCP) and nursing diagnosis for cardiac catheterization:

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  1. Ineffective Peripheral Tissue Perfusion
  2. Hyperthermia
  3. Fear
  4. Risk For Injury
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Hyperthermia

Nursing Diagnosis

  • Hyperthermia

May be related to

  • Reaction to the radiopaque contrast substance utilized during catheterization

Possibly evidenced by

  • Increase body temperature within few hours postoperatively

Desired Outcomes

  • Child’s axillary temperature will be less than 100° F.
Nursing InterventionsRationale
Assess body temperature every hour for 6 hours and then routine.Provides information on which action to take.
Monitor and record intake and output hourly.Evaluates the routine adequacy of fluid intake and elimination.
Maintain IV fluids while the child is drowsy, and when fully awake, encourage fluid intake per orem.Increased fluid intake helps to flush out the dye.
Instruct parents to encourage PO fluids.Including parents in the care boosts the probability of achieving the goal.
Instruct parents to monitor child’s temperature at home and notify any elevations after discharge.Teaching empowers parents to care for the child and helps monitor for hyperthermia.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans for cardiovascular system disorders:

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Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
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