Cardiac Catherization
Let's Learn about Cardiac Catheterization
About the procedure
- Cardiac catheterization is a procedure in which contrast (dye) is injected into the arteries of the heart so they can be seen on X-ray.
- A catheter is inserted into an artery or vein in the groin (or arm). With the help of X-ray the catheter is advanced into the chambers of the heart.
- Coronary arteries can be opened with balloon angioplasty or with the placement of stents.
Pre-Procedure
- NPO for 6 hours
- Check allergies: dye, iodine, and contrast.
- Educate: client will feel warmth when dye inject. Report chest pain during procedure.
- Check Extremity pulses for baseline
Post-Procedure
- Bedrest with leg straight 6 hours
- Elevate HOB < 30 degrees
- Monitor peripheral pulses
- Monitor extremity for color, warmth, and sensation
- Check site for hematoma
- Assess for dysrhythmias
- Encourage fluids or IV fluids to excrete dye/protect kidneys.
NCLEX TIP
What needs immediate follow up!
- Decreased pulses, pale toes, numb toes of the affected extremety,
- Hematoma/bleeding at the puncture site.
- Low urine output. Dye affects the kidneys.
- Of course, abnormal vital signs.