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
Ambulatory Care
- Resumption of sexual activity
  - Teach when discuss other physical activity
  - Erectile dysfunction drugs contraindicated with nitrates
  - Prophylactic nitrates before sexual activity
  - When to avoid sex
  - Typically 7–10 days post MI or when patient can climb two flights of stairs
Evaluation
- Stable vital signs
- Relief of pain
- Decreased anxiety
- Realistic program of activity
- Effective management of therapeutic regimen

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