Adult Cardiac Surgery: Nursing Care and Management, 1st by Helen Inwood

By Helen Inwood

This e-book will solution the questions commonly asked through newly certified nurses or nurses getting into the area of expertise of cardiac surgical procedure. It identifies the desires of the grownup sufferer convalescing from cardiac surgical procedure, and specializes in the extra universal approaches of coronary artery pass graft and valve surgical procedure. the knowledge supplied will allow facts established nursing care to help interventions within the assembly of these needs.This textual content will let nurses during this professional region to be aware of a excessive easy usual of nursing care, making sure that the wishes of the sufferer should not overlooked within the pursuit of technological development. It discusses the most problems which can ensue and the way those could be handled.

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Extra info for Adult Cardiac Surgery: Nursing Care and Management, 1st Edition

Example text

Pericardotomy can be used to drain the pericardium. With the release of the fluid, a dramatic improvement in systemic blood pressure can be expected. Constrictive pericarditis Constrictive pericarditis is produced when chronically inflamed, fibrotic 26 Adult Cardiac Surgery: Nursing Care and Management (often calcified), non-compliant pericardium restricts diastolic ventricular filling. The aetiology is often viral, although tuberculosis is becoming an important aetiological factor. Clinically, the patient demonstrates signs and symptoms similar to those of congestive heart failure.

The presence of a recent-onset upper respiratory tract infection is associated with increased airway reactivity, mucous plugging, atelectasis, bronchospasm and pneumonia. Patients who have had a recent infection (within 3–4 weeks preceding surgery) but are asymptomatic pose the greatest risk. All patients with known chronic chest problems should be questioned about the severity of symptoms, whether they have had a recent chest infection and current medication. Pulmonary function tests (PFTs) should be carried out on patients with a chronic disease.

Preoperative starvation could lead to a state of catabolism, which may be detrimental to the patient undergoing major surgery (Torrence, 1991); 4–6 hours is sufficient to account for the variable time required for gastric emptying of solids, but clear fluids are appropriate for up to 2 hours preoperatively (Chapman, 1996). Much of the preoperative preparation is for the postoperative period. g. pain, depression. The spouse should be encouraged to visit the intensive care/recovery area, where there is the opportunity to see other patients recovering from cardiac surgery, and to see equipment.

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