CABG

Question 1

two types of CABG surgeries

Answer 1

harvest a vein from the leg flip the vein upside down

connect the mammary artery to bipass cornary artery

Question 2

how to close a mid sternomity

Answer 2

closed with wires

Question 3

clots do what?

Answer 3

beat and ruin the inside of vessels, causing venous insufficency

Question 4

mammary artery is better than what?

Answer 4

saphaneous

Question 5

what is cardiopulmonary bypass?

Answer 5

the procedure circulates and oxygenates the blood, it maintains perfusion to body organs in order to complete the anastamoses motionless

Question 6

what are medialstinal tubes for?

Answer 6

chest tubes that drain the medial stinum

Question 7

hypothermia and CABG surgeries (w/o bypass)

Answer 7

beta blockers are used to slow the heart
cooled blood to slow the heart down
body warmed back up and heart restarted

Question 8

what needs to be monitored during CBP

Answer 8

urine out put
blood gases electrolytes
coagulation studies

Question 9

Number one complication of CABG surgery

Answer 9

Post op Afib

occurs 2-4 days after, rarely after the first week

Question 10

other post op complications of CABG

Answer 10

Hemorrhage
MI
Dysrythmias

Question 11

what can POAF cause?

Answer 11

stroke
hemodynamic compromise
prolonged length of hospital stay

Question 12

what is prophylaxsis for post op a fib

Answer 12

Beta blockers
given atleast 24 hrs in advanced
always go to tele bed after surgery

Question 13

a rapid ventricular response and loss of an atrial kick can lead to what?

Answer 13

myocardial ischemia and reduce cardiac output and BP

Question 14

importance of monitoring electrolytes post CABG

Answer 14

hypomagnesium and hypokalemia may be more prone to AF
other factors that increase patients risk for AF are
Hx of AF
mitral valve disease
COPD
not having received preoperative BB or ACE inhibitors can cause withdrawl of previous therapy

Question 15

what testing needs to be done before CABG

Answer 15

H and P
EKG 
COAGS 
T XM 
Cognitive status 
functional level 
fears and anxiety 
pain and fear of the unknown 
changes in body image

Question 16

perioperative nurse is responsible for comfort and saftey of the patient

Answer 16

before the chest inscion is closed chest tubes are inserted to evacuate blood and air from the thoracic cavity

Question 17

monitor for complications of what?

Answer 17

F and E balance 
I and O 
Daily Wt. 
hemodynamic stability 
hematocrit 
neck vein distention 
edema 
breath sounds 
electrolyte levels 
relieve pain 
monitor electrolyte levels 
maintain perfusion 
maintain body temp 
watch k+ 
monitor body temperature