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Potential Complications of Cardiac Surgery (Cardiac tamponade (Becks triad…
Potential Complications of Cardiac Surgery
Ischemic Injury, graft occlusion
ECG signs of injury/ischemia
Concern with OPCAB
**Postoperative bleeding
Watch chest tubes-Greater than 100cc=Call
Maybe anastomosis site
Monitor coags
Blood products-PRBC, FFP, Plt, CRYO
Coagulopathy
Condition where blood's ability to coagulate is impaired
Blood Products
Heparin rebound problem/ Protamine
Cardiac tamponade
Becks triad
Hypotension
Distended Neck Veins
Distant, Muffles Heart sounds
Narrow Pulse Pressure
Pulses Paradoxes
Drop in BP by 10 points upon inhalation- means increased intrathoracic pressure
CO goes down- Fillling pressure go up
Back to the OR
Dysrhythmias
types
AFIB
Heart block
Ventricular
Causes
Electrolyte disturbances
Oxygenation issues= Ventilation/ gas exchange
Bleeding/Tamponade= impaired O2 delivery
Poor gas exchange
Evaluate ABG- may need vent changes
Atelectasis from supine posturing
Hemodynamic Instability
Hypovolemia- give volume
Bleeding-give blood/blood products
LV failure- Inotropes/ volume/blood
May need vasopressors