Which assessment would the nurse perform before administering a cardiac medication to a patient?
IntroductionCardiac catheterisation involves the insertion of a catheter into a vein or artery, usually from a groin or jugular access site, which is then guided into the heart. This procedure is
performed for both diagnostic and interventional purposes. Diagnostic catheters are used to assess blood flow and pressures in the chambers of the heart, valves and coronary arteries and to assist in the diagnosis and management of congenital heart defects. Interventional catheters are used as an alternative to open-heart surgery when possible and are involved in closing ventricular and atrial septal defects via catheter device closure, expansion of narrowed passages (pulmonary
stenosis), stent placement, ablation of abnormal electrical pathways and widening of existing openings (balloon atrial septectomy). Show
AimTo provide nurses with the knowledge and skill set to competently care for a patient post cardiac catheterisation. Definition of Terms
AssessmentRefer to Nursing Assessment nursing clinical practice guideline (Link). HistoryInclude the following when taking the history of a child post cardiac catheterisation:
Routine ManagementOn arrival to ward
Anticoagulation post cardiac catheterisation
Assessment and Management of ComplicationsComplications:
Hematoma
Arrhythmia
Thrombus
Retroperitoneal bleeding
Stroke
Escalation of care in relation to complications associated with cardiac catheterisation In relation to above complications listed when caring for a patient post a cardiac catheter, see the following process of escalation of care as per
protocol & following link: Rapid review:
MET criteria – 22 22, ward, department, level, building Catheterisation fellow - office hours: pager # 5719, after hours: pager # 4044. InvestigationsIn children who undergo diagnostic cardiac catheters no investigations are typically required unless complications are suspected.
Companion DocumentsNursing Clinical Guidelines
Evidence TableView the evidence table for the Care of the patient post cardiac catheterisation nursing guideline here. References
Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Charmaine Cini, Nurse Educator, Koala Ward, and approved by the Nursing Clinical Effectiveness Committee. Updated December 2020.. What must be assessed before the administration of medication?WHAT ARE THE THREE CHECKS? Checking the: – Name of the person; – Strength and dosage; and – Frequency against the: Medical order; • MAR; AND • Medication container.
What are the nursing responsibilities when administering medications?Nurses' responsibility for medication administration includes ensuring that the right medication is properly drawn up in the correct dose, and administered at the right time through the right route to the right patient. To limit or reduce the risk of administration errors, many hospitals employ a single-dose system.
When performing an assessment about medication drug history should include?A good medication history should encompass all currently and recently prescribed drugs, previous adverse drug reactions including hypersensitivity reactions, any over-the counter medications, including herbal or alternative medicines, and adherence to therapy.
Which of these rights are checked when with the patient prior to administering the medication?These 6 rights include the right patient, medication, dose, time, route and documentation. Futhermore, nurses are also urged to do the three checks; checking the MAR, checking while drawing up medication and checking again at bedside. It is important to check for allergies as well before administration.
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