This nursing care plan forHeart Cathor Cardiac Catheterizationincludes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Acute Pain & Risk for Ineffective Therapeutic Regimen Management. Patientswho havereceived a heart cath, also called a cardiac cath, may experience acute pain after the procedure. A cardiac cath is performed on patients to rule out coronary artery disease. Some of these patients have had a suspicious cardiac stress test and the cardiologist wants to make sure the patient does not have any blockages in the coronary arteries. If a blockage is found a stent is placed into the coronary artery to open theartery and allow the heart tissue toreceive normal blood flow.
In order to do this the cardiologist inserts a needle and guides a wire up through the femoral artery in the groin which can be painful for the patient during the recovery period after numbing mediation and sedation wears off. A new technique being used to access the coronary arteries is the usage of the radial artery. However, if a stent has to be place the femoral artery is preferred.
Another issue patients who have had a heart cath may experience is ineffective therapeutic regimen management. Patients may have insufficient knowledge of site care, how to take medications properly to keep the cardiac stent open, or follow-up care.
Below is a case scenario that may be encountered as a nursing student or nurse in a hospital setting.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Acute Pain & Risk for Ineffective Therapeutic Regimen Management for Heart Cath Cardiac Catheterization
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
A 48 year old male is admitted to the interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities.A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patientand his wife have verbalized they desire (but feel they will not be able to) to managethe new medication regime and post-op care but are having difficulty understandingwhy it is so important to take these new medications and quit smokingsince he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does notwant these medications to interfere with his life. |
Nursing Diagnosis: |
-Acute Pain related to tissue trauma and prescribed post procedure immobilization as evidence by patient rating pain 8 on 1-10 scale. Risk for Ineffective Therapeutic Regimen Management related to insufficient knowledge of medication regime and post-op care as evidence by patient and wife verbalize these concerns. |
Subjective Data: |
The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patientand his wife have verbalized they desire to manage (but feel the will not be able to) the new medication regime and post-op care but are having difficulty understandingwhy it is so important to take these new medications and quit smokingsince he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does notwant these medications to interfere with his life. |
Objective Data: |
-A 48 year old male is admitted to the interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities.A sandbag in on the site which has to stay for another 1.5 hours per md orders. |
Nursing Outcomes: |
| -The patient will rate his groin pain less than 5 on a 1-10 scale within in 2 hours from admission.-The patient and his wife will relate to the nurse that they feel like they can integrate the new medication and stop smoking regimen into their lifestyle before discharge. -The patient and his wife will verbalize 4 benefits of quitting smoking for the heart by discharge. -The patient and his wife will demonstrate and verbalize how to administer and take his new medications before discharge. |
Nursing Interventions: |
| -The nurse will assess the patient’s pain every 2-4 hours.-The nurse will administer Lortab 5-325mg 1 to 2 Tabs every 4 hours for pain. -The nurse will assist the patient with re-positioning techniques as needed to help alleviate pain. -The nurse will educate the patient and his wife on 4 benefits of quitting smoking for the heart by discharge. -The nurse willverbalized anddemonstrate tothe patient and his wife how the patient needs to take his new medications by discharge. |
