Nursing Management of the Patient Undergoing Cardiac Surgery
Quiz yourself by thinking what should be in
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| At what volume of chest tube drainage post-CABG should you call the Dr.? | show 🗑
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| S/S of Cardiac Tamponade | show 🗑
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| show | Sternotomy
Return to OR for clot evacuation
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| Effects of HYPOthermia on body systems? | show 🗑
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| Target time for extubation post CABG? | show 🗑
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| What drug is given at the end of CABG surgery to reverse neuromuscular blockade? | show 🗑
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| What anesthesia is used at the termination of surgery? | show 🗑
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| show | Benzodiazepines
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| show | 38.3C/101F
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| Drug used to maintain UOP? | show 🗑
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| show | Revascularize the myocardium
Repair or replacement of anatomical pathologies
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| show | Saphenous vein grafts
Internal mammary artery
Radial artery
Gastric artery
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| show | Cardiopulmonary Bypass
Mechanical means of oxygenating and circulating blood during CABG surgery.
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| How does CPB work? | show 🗑
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| show | Hypothermia
Preexisting cardiac pathology
Increased SVRI
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| Methods of maintaining HR post-op CABG? | show 🗑
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| Methods of maintaining Preload post-op CABG? | show 🗑
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| Methods of maintaining Afterload post-op CABG? | show 🗑
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| show | Protamine Sulfate
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| show | Permanent Neuro deficits post-op secondary to ministrokes from air bubbles and small clots.
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| Types of Cardiac Surgeries? | show 🗑
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| show | 1)Pipes - arteries and veins 2)Pump - Heart 3)Fluid - Blood
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| When should the post cardiac patient ambulate? | show 🗑
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| Purpose of Cardiac Surgery? | show 🗑
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| show | Saphenous vein grafts, internal mammary artery, radial artery, gastric artery
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| show | Mechanical and tissue valves (porcine)
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| What is a Minimally Invasive Cardiac Surgery? | show 🗑
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| show | Mechanical means of oxygenating and circulating blood during surgery. A cannula is put in the superior vena cava to remove blood from the body to the Cardiopulmonary Bypass machine for oxygenation.
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| What is Cardiopulmonary Bypass (CPB)2? | show 🗑
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| What causes Fluid Volume Deficit (FVD) and Hypotension with CPB? | show 🗑
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| What causes third spacing with CPB? | show 🗑
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| show | Hypothermia, Preexisting cardiac pathology, Increased SVRI (afterload)
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| show | Pump Damage
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| show | Decreased in insulin release and glycogenolysis
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| show | Heparin, Platelet trauma, hypothermic liver
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| What causes hypokalemia and hyperkalemia with CPB? | show 🗑
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| What causes decreased LOC, sensory deficit with CPB? | show 🗑
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| show | Hypothermia and Catecholamine release
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| show | Anticoagulated but small clot formations
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| Preoperative Care of the Cardiac patient: | show 🗑
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| show | First 15 minutes: Assessment, Vital signs,
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| What causes Hemolysis with CPB? | show 🗑
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| show | Decreased in insulin release and glycogenolysis
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| show | Heparin, Platelet trauma, hypothermic liver
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| What causes hypokalemia and hyperkalemia with CPB? | show 🗑
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| show | Microemboli to brain and decreased cerebral tissue perfusion.
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| show | Hypothermia and Catecholamine release
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| What causes a stroke with CPB? | show 🗑
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| show | Teaching, ICU environment, postoperative care
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| show | First 15 minutes: Assessment, Vital signs,
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| Effects on the body from cardiac surgery. 1. FVD (hypotension) | show 🗑
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| show | decreased plasma proteins increase capillary permeability
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| effects on the body from cardiac surgery. 3. decreased CO (myocardial depression) | show 🗑
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| effects on the body from cardiac sugery. 4. hemolysis | show 🗑
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| effects on body from card. surg. 5. hyperglycemia | show 🗑
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| effects on body from cardiac surgery 6. bleeding (coagulopathy) | show 🗑
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| show | intracellular shift/cell damage
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| show | microemboli to brain from air, plaque fragments decreased cerebral tissue perfusion
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| show | causes: hypothermia causing vasoconstriction, and catechomine relase
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| Effects on the body from cardiac surgery. 1. FVD (hypotension) | show 🗑
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| effects on body from cardiac surgery 2. Third spacing (edema, weight gain) | show 🗑
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| effects on the body from cardiac surgery. 3. decreased CO (myocardial depression) | show 🗑
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| show | pump damage - RBC damage
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| effects on body from card. surg. 5. hyperglycemia | show 🗑
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| effects on body from cardiac surgery 6. bleeding (coagulopathy) | show 🗑
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| show | intracellular shift/cell damage
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| effects on body from cardiac surgery 8. decreased LOC, sensory deficit | show 🗑
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| show | causes: hypothermia causing vasoconstriction, and catechomine relase
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| Effects on the body from cardiac surgery. 1. FVD (hypotension) | show 🗑
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| show | decreased plasma proteins increase capillary permeability
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| show | hypothermia, preexisting cardiac pathology, increased SVRI
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| effects on the body from cardiac sugery. 4. hemolysis | show 🗑
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| show | decrease insulin release, glycogenolysis stimulation
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| effects on body from cardiac surgery 6. bleeding (coagulopathy) | show 🗑
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| show | intracellular shift/cell damage
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| effects on body from cardiac surgery 8. decreased LOC, sensory deficit | show 🗑
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| show | causes: hypothermia causing vasoconstriction, and catechomine relase
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| show | 15 minutes= assessment, VS, CVP, PA pressure, Rhythm, Incision, Dressing, CT drainage, peripheral pulses, UOP, Heart sounds, Lung sounds, Neuro (LOC, movement, strength, follow commands)
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| Post op care complete cardiac profile | show 🗑
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| what to report after cardiac surgery | show 🗑
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| show | By HR, Preload, afterload, and contractility
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| show | temporary pacing - epicardial pacing wires if < 80 in adults, beta blockers or calcium channel blockers to slow rate under 110,monitor serum K- keep in high normal range to prevent venticular ectopy, monitor serum Mg to decrease incidence of dysrythmia
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Created by:
keelerd
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