If bleeding occurs at the puncture site after cardiac catheterization, what is the appropriate intervention?

If bleeding occurs at the puncture site after cardiac catheterization, what is the appropriate intervention?

• A. Direct manual pressure above the puncture site
• B. Apply ice pack
• C. Increase IV fluids
• D. Administer anticoagulants

Answer: (B)

Direct manual pressure over the puncture site is the primary step to control bleeding after cardiac catheterization. Applying firm, sustained pressure compresses the arterial puncture, promotes hemostasis, and helps prevent hematoma or more serious bleeding. An ice pack may help with swelling later, but it does not stop active arterial bleeding and cannot substitute for direct pressure. Increasing IV fluids or giving anticoagulants would worsen bleeding rather than stop it. After applying pressure, monitor the site and the patient, and alert the physician if bleeding continues or signs of complications appear.

Direct manual pressure over the puncture site is the primary step to control bleeding after cardiac catheterization. Applying firm, sustained pressure compresses the arterial puncture, promotes hemostasis, and helps prevent hematoma or more serious bleeding. An ice pack may help with swelling later, but it does not stop active arterial bleeding and cannot substitute for direct pressure. Increasing IV fluids or giving anticoagulants would worsen bleeding rather than stop it. After applying pressure, monitor the site and the patient, and alert the physician if bleeding continues or signs of complications appear.