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Coronary revascularization: PCI – Coronary revascularization: CABG

Coronary revascularization: PCI Monitor for recurrent angina Frequent VS, including cardiac rhythm Monitor catheter insertion site for bleeding Neurovascular assessment Bed rest per institutional policy Coronary revascularization: CABG ICU for first 24–36 hours Pulmonary artery catheter Intra-arterial line Pleural/mediastinal chest tubes Continuous ECG ET tube with mechanical ventilation Epicardial pacing wires Urinary catheter NG tube Read More

Nursing diagnoses : Decreased cardiac output

Nursing diagnoses Decreased cardiac output related to altered contractility and altered heart rate and rhythm Acute pain related to an imbalance between myocardial O2 supply and demand Anxiety related to perceived or actual threat of death, pain, and/or possible lifestyle changes Activity intolerance related to general weakness secondary to decreased cardiac output and poor lung Read More

Acute coronary syndrome : Nursing management

Nursing management Nursing Assessment: Subjective Data Health history CAD/chest pain/angina/ MI Valve disease Heart failure/cardiomyopathy, Hypertension, diabetes, anemia, lung disease, hyperlipidemia Drugs Use of anti-platelets or anticoagulants Nitrates Angiotensin-converting enzyme inhibitors β-blockers Calcium channel blockers Antihypertensive drugs Lipid-lowering drugs Over-the-counter drugs (e.g., vitamin and herbal supplements) History of present illness Description of events related to Read More

Acute coronary syndrome

Acute coronary syndrome Minimally invasive direct coronary artery bypass (MIDCAB) For patients with disease of left anterior descending or right coronary artery Does not involve a sternotomy and CPB Off-pump coronary artery bypass (OPCAB) Sternotomy but no CPB Robotic or totally endoscopic coronary artery bypass (TECAB) Transmyocardial laser revascularization Indirect revascularization High-energy laser creates channels Read More