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A cardiac catheterization no longer requires hours in a bed or an overnight hospital stay following the procedure. McLeod Cardiologist Dr. Fred Krainin explains how you can have your cardiac cath and go home the same day for dinner.
In cardiac catheterization (often called cardiac cath), your doctor puts a very small, flexible, hollow tube (called a catheter) into a blood vessel in the groin, arm, or neck. Then he or she threads it through the blood vessel into the aorta and into the heart. Once the catheter is in place, several tests may be done.
They include blood tests, urinalysis, a chest X-ray and an EKG. These tests are given to ensure optimal and safe conditions during your cardiac catheterization procedure.
Cath lab nurses work in hospitals and independent cardiac care centers where catheterizations are performed. Like other nurses, they can expect to work shifts ranging between 8 and 10 hours for cardiac care centers and typical 12-hour shifts for hospital cath labs.
Duties of a Cath Lab Nurse The consensus guideline recommends that the nursing staff have a minimum of one year of critical care experience, basic life support certification as well as an advanced cardiovascular life support certification.
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The doctor will determine when you will be discharged after the recovery period, which can be from three to eight hours following a procedure.
The most common risks of cardiac catheterization include bleeding or hematoma. Rare risks include reaction to contrast dye, impaired kidney function due to contrast dye, abnormal heart rhythm, and infection. Extremely rare complications (<1%) include heart attack, stroke, need for emergent cardiac surgery, and death.
A cardiac cath lab nurse is a Registered Nurse who specializes in assisting with catheterizations. They monitor and examine patients prior to procedures, as well as during and after. They also administer medications and assist the medical team in whatever they may need during the procedure.
The registered nurse who moves to the cath lab generally has previous critical care skills and education, with a good handle on arrhythmias, 12-lead EKG, and hemodynamics. All of these things make him or her a valuable asset in the cath lab environment.
You may be fully awake or lightly sedated, or you may be given general anesthesia (fully asleep). During cardiac catheterization, one or more catheters are passed through a blood vessel in the groin, wrist or neck, depending on the reason for the procedure, and guided to the heart.

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