Pediatric Nurse Exam Sample QuestionsThese sample questions apply to all exams taken on or after October 25, 2014. Show
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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). 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.. Which laboratory value may be increased in a patient with systemic inflammatory response syndrome?A white blood cell count of greater than 12,000/µL or less than 4,000/µL or with greater than 10% immature (band) forms on the differential is a criterion for SIRS. An increased percentage of bands is associated with an increased incidence of infectious causes of SIRS.
What conditions can cause hypovolemic shock select all that apply?The most common cause of hypovolemic shock is blood loss when a major blood vessel bursts or when you're seriously injured. This is called hemorrhagic shock. You can also get it from heavy bleeding related to pregnancy, from burns, or even from severe vomiting and diarrhea.
Which medical diagnosis would the nurse suspect as the cause of cardiogenic shock?End-stage cardiomyopathy. The inability of the heart to pump enough blood for the systems causes cardiogenic shock.
Which interventions should the nurse implement to reduce the risk of complications for a patient in hypovolemic shock?Nursing Interventions. Safe administration of blood. It is important to acquire blood specimens quickly, to obtain baseline complete blood count, and to type and crossmatch the blood in anticipation of blood transfusions.. Safe administration of fluids. ... . Monitor weight. ... . Monitor vital signs. ... . Oxygen administration.. |