Term
Medications frequently discontinued for CABG
AND
How long before |
|
Definition
- Digoxin (12 hrs prior)
- Diuretics (2 to 3 days prior)
- Aspirin and other anticoagulants (1 week prior)
|
|
|
Term
| Medication often continued for CABG: |
|
Definition
- Potassium suppliments
- Scheduled antidysrhythmics
- Scheduled antihypertensives
|
|
|
Term
| Preoperative Medication for CABG |
|
Definition
- Anxiolytics
- Antibiotics
- Cholinergic blocker
- Such as scopolamine
- a central nervous system depressant that reduces secretions
|
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|
Term
|
Definition
|
|
Term
| Activity for patient after CABG |
|
Definition
- Dangle and turn the client side to side as tolerated
- within 2hrs following extubation
- Assist the client to chair
- Ambulate the client 25 to 100ft
- by the first postoperative day
|
|
|
Term
| Post CABG, hypotension may result in what? |
|
Definition
|
|
Term
| Post CABG, hypertension may result in: |
|
Definition
| bleeding from the grafts and sutures |
|
|
Term
| How often should you check neurological status post CABG? |
|
Definition
- Every 30 - 60min until client awakens
- Then every 2 - 4hrs
|
|
|
Term
| Drainage of more than _______ could be a sign of possible hemorrhage and should be reported to the surgeon. |
|
Definition
|
|
Term
| Difference between anginal pain and incisional pain |
|
Definition
- Anginal: often radiates and is unaffected by breathing
- Incisional: localized, sharp, aching, burning, and often worsens with deep breathing.
|
|
|
Term
|
Definition
| Stimulates the sympathetic nervous system, resulting in increased heart rate and systemic vascular resistance. |
|
|
Term
| Activity level for patient at home post CABG |
|
Definition
- Remain home during the first week after surgery
- Week 2: possible return to work part-time, increase social activities.
- Week 3: Lifting up to 15lbs, avoiding heavier lifting for 6 to 8 weeks.
|
|
|
Term
| When can patient usually resume sexual activity? |
|
Definition
When they can symtpom-free:
- Walk one block
- Climb 2 flights of stairs
|
|
|
Term
| Signs of cardiac tamponade |
|
Definition
- Sudden decrease/cessation of chest-tube drainage following heavy drainage
- Jugular distension with clear lung sounds
- Equal PAWP and CVP values
|
|
|
Term
| Treatment for cardiac tamponade |
|
Definition
- Volume expansion (fluid administration) and
- Emergency sternotomy with drainage.
Note: Pericardiocentesis is avoided because blood may have clotted. |
|
|
Term
|
Definition
- Occurs with increased pressure in tissues that are confined, which leads to decrease in blood flow.
- Assess for worsening pain, swelling, and tense or taut skin
- Report abnormal findings to the primary care provider immediately.
|
|
|
Term
postperiocardiotomy syndrome
S&S
Treatment |
|
Definition
- A possible complication after a CABG
- S&S
- Fever
- Pericardial pain
- Pleural pain
- Dyspnea
- Pericardial effusion
- Pericardial friction rub
- Arthralgia
- Leukocytosis
- Elevated sed rate
- Treatment:
- Bedrest
- Antiinflammatory meds
|
|
|
Term
|
Definition
- Measures methylated alkanes in a patient's breath and compares to the ambient air values and values obtained previously on this patient to monitor for degress of rejection in heart transplant.
|
|
|
Term
| Anti-rejection medication |
|
Definition
- Cyclosporine
- Tacrolimus
- Azathioprine
- Mycophenolate
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