- Explain specific aspects of the procedure such as the placement of
the IV and ECG electrodes. - Demonstrate how the skin will be washed with brown soap and how
the skin will be numbed. - Explain how the contrast affects the patient and how sedation will
make the child feel.
Care of the patient after cardiac catheterization: - Monitor patient with cardiac monitor and pulse oximeter prior to
discharge. - Monitor the patient for
Temperature and color distal to the catheter insertion site
A pulse of the extremity distal to the catheter insertion site - Take vital signs every 15 minutes for the first hour and hourly
thereafter. - 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.
5(^116) Pediatric Nursing Demystified