10. Describe at least five manifestations of a contrast dye reaction. What steps can the nurse take to minimize the risks of a patient having one of these reactions? The contrast dye that is used during cardiac catheterization can lead to many reactions that ranges from mild to serious. The mild symptoms include diaphoresis, pruritus, dyspnea and tachycardia. The more serious reactions include ventricular tachycardia, bronchospasm, laryngeal edema, and seizures (Siddiqi, 2014). A nurse can minimize these risks by pre-medicating the patient if the patient is known to have an allergy or a disease that could exacerbate such as asthma. The medications that can be used include prednisone and hydrocortisone. It is also recommended that the …show more content…
It is the responsibility of the physician to explain the risks and benefits and to answer any questions that the patient may have. A patient must be competent to sign the informed consent or the informed consent will not be valid. If the patient is not able to consent, a power of attorney may consent for the patient (Bashore, 2012). The nurse must make sure that the informed consent has been signed and documented in the patients chart before preparation of the procedure. In the case of an acute myocardial infarction, the patient will need immediate attention in the cardiac catheterization lab which will leave no time for a lengthy description of the procedure. However, an informed consent must be signed before performing a cardiac catheterization regardless of the amount of time that is allowed during an emergency. An informed consent allows the patient to have autonomy and has the right to decide if they want to continue with this procedure due to the benefits and risks that comes along with it (Bashore, 2012). 12. Immediately following the procedure, what will the nurse’s responsibility be to minimize bleeding at the femoral puncture site, and what will be Robert Wilson’s prescribed activity level? How will
Every patient has a right to decide on their own course of treatment and freely consent to that treatment. In order to make an educated decision they must be provided with the proper information to make an informed choice (Opinion 8.08 - Informed Consent, 2006). It is the physician’s legal and ethical obligation to provide this information when making their recommendation on treatment. The choices given must be in accordance with good medical practice (Opinion 8.08 - Informed Consent, 2006). The informed consent is the legal policy, either written or verbal, that gives full disclosure of all the information including potential risks that is applicable to the patient’s condition and treatment being offered (Kazmier, 2008).
However, Franklins claims that consent form should be the responsibility of just the doctor is flawed. Although doctors should not “act as if informed consent is a piece of paper with somebody’s name on it” it should not be only the doctor that is trying to be informed about the process Debroah (261). Franklin does not consider that the doctors already have a great number of patients they have to see. In addition to their job of keeping you healthy they have to check to see and if their patient is a poor reader, and if they understand the text and seeing that not all adults read at the same
Each of these four cases are issues regarding informed consent. Nurses do not consent the patient for procedures. However, they can assure that the patient understands the procedure. They can support and reiterate what the physician is stating. If there is any hesitancy, the nurse needs to document it and relay the information. The nurse is the patient advocate, so as the physician is explaining and describing the procedure, the nurse needs to be present. If the physician is unaware of the level of education, the nurse needs to communicate the level of education to the physician.
. The most important goal of informed consent is that the patient has an opportunity to be an informed participant in her
When a patient needs to have a medical procedure performed, they must first consent to the procedure. Before accepting or rejecting the treatment, the practitioner is required to give the patient information pertaining to the risks and benefits of the procedure, as well as available alternatives. Additionally, the patient must be mentally competent enough to make an informed decision, and not be manipulated or coerced into a decision.
The patient has the right to receive information necessary to give informed consent prior to the start of any procedure or treatment.
Nursing procedure requires mentoring for circulatory overload and pulmonary edema. The use of crystalloid balanced IV fluids shows lowered mortality and will regulate circulation within an appropriate fashion. (El Solh, Akinnusi, Alsawalha & Pineda, 2008)
They have a duty and a legal responsibility to give the whole truth, receive informed consent, and be bound by primary duty. Each patient has the right to exercise control over his or her own body. The need to receive all the information available is extremely important to be fully informed of their current state and know all the options they have, this way they are able to be in agreement with their physician and give them the proper permission for what they are asking of them. The only way for this to happen is to have the patient be fully informed by having the physician give the whole truth. The physician is an expert and needs to be able to explain all the information to the patient since the patient is in an inferior position than the physician. The patient relies on them to give them the whole truth and provide alternative courses of action in a neutral fashion. The physician is also bound by primary duty to the patient which means that they cannot put anyone else’s good over the good of their
This consent has to be signed by the patient , the guardian or patient 's power of attorney . Severe reactions to the procedure leading to cardiopulmonary arrest / death are beyond the health care team 's capacity . As long as there were no mistakes when the procedure was done there will be no repercussions . Emergency apparatus and pharmaceuticals are available for any emergencies that may arise during the after the procedure
Side effects of radiographic contrast media extent from a moderate incommode, such as itching, to a life-threatening emergency. The well-known unpropitious reaction associated is contrast-induced nephropathy (CIN) with the use of intravenous or intra-arterial contrast material. Delayed allergic reactions, anaphylactic reactions, and cutaneous reactions is the other configuration of deleterious reactions encompass. The possibility of deteriorate adverse reactions to contrast agents elevating due to antecedent allergic reactions. Hypersensitivity reactions and thyroid dysfunction is the primarily significant adverse effects of contrast media. Moderate hypersensitivity reactions subsist of immediate skin rashes, redden, rhinorrhoea and
If the patient is taking medication or receiving medical treatment, you may want consent from a GP
Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed
In healthcare, it is important to establish an informed consent. Informed consent is a process by which a client or client legal representative and the healthcare provider engage in a discussion about a course of medical treatment. It includes the risk of treatment, benefit, possible harm and consequences as well as alternatives provided by the healthcare practitioner or physicians in an understandable manner (Blais, K. & Hayes, J. S., 2016, p.85). Informed consent takes into consideration the safety of the patient. It allows the patients to ask questions about the procedures and discuss any concerns; by doing so can help improve patient outcomes and prevent medical errors.
I understand your situation in dealing with the informed consent; however I have not had to deal with no one providing the information requested. I am constantly questioning the nurse witnessing the consent. At our facility, a few new physicians have begun working and performing small procedures. These physicians obtain the informed consent themselves, the entire consent. I love the way this works. I feel that it provides the patient with valid information and time to ask important questions before signing. The physician is with them every step of the way. I wish it was like this for all procedures at our facility. Even though our physicians provide the information, it is not always done in front of the nurse. I would like to see a more detailed
It is important not to treat a medical condition without a written consent because if the