NURSING
Nursing: Cardiovascular Surgery
After going through sections of the given book and watching a video of cardiovascular surgery, the indications and risk factors for bypass graft, aortic replacement, and valve replacement surgery include age, previous heart surgery, serum creatinine level, peripheral or cerebral vascular disease, left main artery coronary artery stenosis, and left ventricular ejection fraction, etc. (Gardner et al., 2004).
The most common diagnoses observed in patients who have undergone cardiovascular surgery are:
Coronary artery disease: This disease is triggered by plaque formed around the walls of the arteries responsible for pumping blood to the heart and other body parts (Centers for Disease Control and Prevention, 2021).
Non-ST elevation myocardial infarction (NSTEMI): It is a type of heart attack but less harmful than the actual one since the damage caused to the heart is lower than a real heart attack (Baptist Health, n.a.). It is most commonly caused by tobacco products, hypertension, low involvement in physical activities, the possible presence of diabetes, family history for the illness or genetics, being overweight, and the presence of certain medical conditions.
S.T. elevation myocardial infarction (STEMI) is caused by transmural myocardial ischemia that leads to myocardial injury...
…vancomycin in adult cardiology and cardiac surgery. Journal of Cardiovascular Pharmacology and Therapeutics, 9(1). https://escholarship.org/uc/item/2mv418bmNielsen, D. V., Torp-Pedersen, C., Skals, R. K., Gerds, T. A., Karaliunaite, Z., & Jakobsen, C. J. (2018). Intraoperative milrinone versus dobutamine in cardiac surgery patients: a retrospective cohort study on mortality.Critical Care (London, England),22(1), 51. https://doi.org/10.1186/s13054-018-1969-1
Nucleus Medical Media. (2009, February 10). Heart bypass surgery (CABG) [Video]. https://www.youtube.com/watch?v=3Nf6Q2skGOM
Part 6: Advanced cardiovascular life support. (2000, August 22). Circulation, 102(1). https://doi.org/10.1161/circ.102.suppl_1.I-129
Rx List. (2021, January 22). Isuprel. https://www.rxlist.com/isuprel-drug.htm#description
Siddiqeh, M. (2018). Effect of papaverine on the flow of left internal thoracic (mammary) artery for coronary artery bypass grafting. Biomedical Journal of…
References
C.S. Mott Children’s Hospital. (2020, August 31). Coronary artery bypass graft surgery: Self-care for recovery. https://www.mottchildren.org/health-library/ue4714abc
Gardner, S.C., Grunwald, G.K., Rumsfeld, Cleveland, J.C., Schooley, L.M., Gao, D., J.S., Grover, F.L., McDonald, G.O. & Shroyer, A.L. (2004). Comparison of short-term mortality risk factors for valve replacement versus coronary artery bypass graft surgery. The Annals of Thoracic Surgery, 77(2), 549-556. https://doi.org/10.1016/S0003-4975(03)01585-6
Melanson, P. (2001, May). Management of post-op cardiac surgery patients. Critical Care Medicine. https://www.mcgill.ca/criticalcare/teaching/protocols/cardiac
Nucleus Medical Media. (2009, February 10). Heart bypass surgery (CABG) [Video]. https://www.youtube.com/watch?v=3Nf6Q2skGOM
“Part 10.1: Life-threatening electrolyte abnormalities”. (2005). Circulation, 112(24), 121-125. https://doi.org/10.1161/CIRCULATIONAHA.105.166563
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The first article, Changes in Mitral Regurgitation After Replacement of the Stenotic Aortic Valve (2008) stresses a relatively large patient study of those undergoing Aortic valve replacement and then possibly experiencing mitral regurgitation (MR), a common and sometimes concerning complication that as the study shows can occur without any known mitral defect. The study is significant in that it establishes the fact that MR is not as dangerous as once
Does taking Metoprolol before cardiac surgery reduce the incidence of post-op atrial fibrillation Abstract Postoperative atrial fibrillation (POAF) remains a prevalent supraventricular arrhythmia. PoAF has associated effects such as deteriorating hemodynamic, increased risk of stroke and increased probability of death. Beta-blockers have been recommended as effective intervention mechanism of preventing PoAF. Metoprolol is one such beta-blocker that is commonly administered to prevent the incidence of PoAF. The systematic review below entails an analysis
Cardiac Stress Response: The Use of Anesthetic Technique to Promote Positive Outcome; Analyzing the Pros and Cons of Technique Cardiac surgery by nature elicits a powerful stress response resulting from activation of stress hormones including epinephrine, norpinephine and cortisol hormones among others. Surgical trauma and blood loss may contribute to this stress response. Some surgeons have suggested that cardio pulmonary bypass surgery in and of itself activates an inflammatory response that
Surgery Infections When it comes to medical issues that can arise, one of the nastier things that can arise is an infection. Whether it be regular staph, MRSA or others, infections are things that can hurt, kill, maim or at least prolong suffering and recovery. One source of infections that becomes an issue entirely too often would be those that occur because of and during surgery. While it is normal for
Cardiac Rehabilitation Describe what the cardiac rehabilitation program is. Cardiac rehabilitation is a medically supervised program, which helps improve the health of those with heart problems. Some programs that are part of cardiac rehabilitation include various training, such as physical exercise, education and healthy living straining, and various forms of counseling to help oneself reduce stress and pursue a healthy, active life. According to a cardiac rehabilitation help website, there are plenty
To the degree that nurses match their skills with patient's needs, thus is qualified nursing met (AACN, 2006). From my experience, most surgeons, specifically in the cardiac ward focus on the minutiae of their skill and on saving the patient's life mo matter what. A failed surgery seems to them to cast aspersions on their skills. Dr. Agnihotri is, however, unique in that he places the patients needs first and
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