Question

Objectives for Week 12

Cardiac:

1. Identify the clinical manifestations of patients with a cardiac condition
2. Identify nursing care for a patient with a cardiac disease
3. Explain what to watch for with the treatment of IVIG.
4. Identify the important assessments post-cardiac Cath procedure on a pediatric patient

Kawasaki Disease

ATI pages 120-121 RN Nursing Care of Children

1. What are the 3 most important assessments for the patient with Kawasaki Disease?

1. Why are these assessments important?

2. List the 3 most important assessments due to this cardiac procedure process.

1. Why are these assessments important?

3. What is your top 3 priority nursing intervention (from first importance to least importance) based on your assessment?

4. How does IVIG affect the disease process?

5. What is your initial IVIG infusion rate?

6. What does the nurse need to watch for with IVIG administration?

7. What are your nursing interventions in response to an IVIG reaction?

Answer 1

Clinical manifestations of a patient with a cardiac condition:

• Chest pain
• Tightness of the chest
• Chest discomfort
• Pressure over the chest
• Shortness of the breath

Nursing care for a patient with a cardiac disease:

• Regular monitoring of vital signs.
• Monitoring of weight gain.
• Observation of edema.
• Observation of signs of decreased perfusion.

What to monitor during treatment of IVIg:

IVIg refers to intravenous immunoglobulin. It is used in the treatment of Kawasaki syndrome. It is essential to monitor blood pressure during this treatment because there will be rise in the blood pressure which can lead to serious complications like heart attack or stroke. It can also lead to increase in the blood clots.

Important assessments post- cardiac cath procedure in pediatric patient:

• Identification of the type of cardiac catheter if it is diagnostic or interventional.
• Identification of the site of access whether artery or Venus.
• Comparison of the cardiac rhythm of the patient before and after the procedure.