- Monitor for trends and assess for possible hypotension, tachycardia,
and bradycardia. - Check the pressure dressing for evidence of bleeding.
- Observe for bleeding at the insertion site or evidence of hematoma.
- Monitor intake and output for diuresis from contrast material.
- The patient and family should be provided with education upon
discharge to
Observe the site for signs of inflammation and infection.
Monitor for fever.
Avoid strenuous activities for a few days.
Avoid tub baths for 48 to 72 hours.
Use acetaminophen or ibuprofen for discomfort.
Nursing Interventions for Child Undergoing
Cardiac Surgery
Provide preoperative care of the child undergoing cardiac surgery:- Make inquiries to parents and caregivers as to any questions they
may have about the procedure. - Orient child and family to strange surrounding prior to surgery day.
- Check chart for signed informed consent forms.
- Check identification band with surgical personnel to ensure
identity. - Ensure side rails are securely fastened.
- Use restraints for transport.
- Check laboratory values for signs of systemic alterations.
- Bathe and groom the child.
- Provide mouth care for comfort while NPO.
- Cleanse operative site with prescribed method.
- Administer antibiotics as ordered.
- Remove jewelry, makeup, and prosthetics as needed.
- Check for loose teeth.
- Institute preoperative teaching to reduce anxiety.
- Prepare child and family for postoperative procedures such as naso-
gastric tube, wound care, and monitoring apparatus. - Administer preoperative sedation.
Provide postoperative care for the child undergoing cardiac surgery: - Make sure child is in safe position of comfort according to the physi-
cian’s order. - Perform stat orders.
- Use proper handwashing.
- Assess wound for bleeding and signs of infection.
- Provide appropriate wound care.
- Assess breath sounds.
- Perform neurologic checks.
5CHAPTER 6/ Cardiovascular Conditions^113