A nurse is monitoring a child after an interventional catheterization for PDA. Before the procedure, blood pressure was 98/42 mm Hg. After the procedure, blood pressure was 98/74 mm Hg. One hour later, the blood pressure is 96/34 mm Hg
What action by the nurse is best?
A.
Administer epinephrine (Adrenalin).
B.
Contact the provider.
C.
Document the findings.
D.
Give a rapid fluid bolus.
ANS: A
After an interventional PDA repair, the child's pulse pressure should be normal (<40 mm Hg). Children with PDA usually have widened pulse pressure, which is normalized with correction. If the pulse pressure widens again the provider should be notified, as this may signal device embolization or dislodgement.
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