Flashcards in CABG Deck (17)
two types of CABG surgeries
harvest a vein from the leg flip the vein upside down
connect the mammary artery to bipass cornary artery
how to close a mid sternomity
closed with wires
clots do what?
beat and ruin the inside of vessels, causing venous insufficency
mammary artery is better than what?
what is cardiopulmonary bypass?
the procedure circulates and oxygenates the blood, it maintains perfusion to body organs in order to complete the anastamoses motionless
what are medialstinal tubes for?
chest tubes that drain the medial stinum
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
what needs to be monitored during CBP
urine out put
blood gases electrolytes
Number one complication of CABG surgery
Post op Afib
occurs 2-4 days after, rarely after the first week
other post op complications of CABG
what can POAF cause?
prolonged length of hospital stay
what is prophylaxsis for post op a fib
given atleast 24 hrs in advanced
always go to tele bed after surgery
a rapid ventricular response and loss of an atrial kick can lead to what?
myocardial ischemia and reduce cardiac output and BP
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
not having received preoperative BB or ACE inhibitors can cause withdrawl of previous therapy
what testing needs to be done before CABG
H and P
fears and anxiety
pain and fear of the unknown
changes in body image
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