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Flashcards in CABG Deck (17)
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1

two types of CABG surgeries

harvest a vein from the leg flip the vein upside down
connect the mammary artery to bipass cornary artery

2

how to close a mid sternomity

closed with wires

3

clots do what?

beat and ruin the inside of vessels, causing venous insufficency

4

mammary artery is better than what?

saphaneous

5

what is cardiopulmonary bypass?

the procedure circulates and oxygenates the blood, it maintains perfusion to body organs in order to complete the anastamoses motionless

6

what are medialstinal tubes for?

chest tubes that drain the medial stinum

7

hypothermia and CABG surgeries (w/o bypass)

beta blockers are used to slow the heart
cooled blood to slow the heart down
body warmed back up and heart restarted

8

what needs to be monitored during CBP

urine out put
blood gases electrolytes
coagulation studies

9

Number one complication of CABG surgery

Post op Afib
occurs 2-4 days after, rarely after the first week

10

other post op complications of CABG

Hemorrhage
MI
Dysrythmias

11

what can POAF cause?

stroke
hemodynamic compromise
prolonged length of hospital stay

12

what is prophylaxsis for post op a fib

Beta blockers
given atleast 24 hrs in advanced
always go to tele bed after surgery

13

a rapid ventricular response and loss of an atrial kick can lead to what?

myocardial ischemia and reduce cardiac output and BP

14

importance of monitoring electrolytes post CABG

hypomagnesium and hypokalemia may be more prone to AF
other factors that increase patients risk for AF are
Hx of AF
mitral valve disease
COPD
not having received preoperative BB or ACE inhibitors can cause withdrawl of previous therapy

15

what testing needs to be done before CABG

H and P
EKG
COAGS
T XM
Cognitive status
functional level
fears and anxiety
pain and fear of the unknown
changes in body image

16

perioperative nurse is responsible for comfort and saftey of the patient

before the chest inscion is closed chest tubes are inserted to evacuate blood and air from the thoracic cavity

17

monitor for complications of what?

F and E balance
I and O
Daily Wt.
hemodynamic stability
hematocrit
neck vein distention
edema
breath sounds
electrolyte levels
relieve pain
monitor electrolyte levels
maintain perfusion
maintain body temp
watch k+
monitor body temperature