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coronary artery bypass grafting - Coggle Diagram
coronary artery bypass grafting
indications
high grade blockage in any major coronary arteries
when percutaneous coronary intervention has failed
multiple vessel diseases
angina pectoris
uses an artery or vein of the patient to anastomose from the aorta to the distal end of the stenosis, so that blood flow can directly supply the distal myocardium through the graft, thereby achieving the purpose of treating myocardial ischemia
routine assessments
angiography
CT imaging
complications-pleural effusion,pulmonary embolism,thrombosis(too early can be come)
nursing care
preop
educate about spirometry,physiotherapy,deep breathing exercises,resp muscle training,early mobalization after surgery,relaxation therapy
post op
sternal precausions-no lifting more than 5-10lbs,no reaching behind back,no pushing or pulling by arms
cardiac rehabilitation-weight management,BP management,lipid manangement,DM management
smoking cessation
asssessment-chest pain,incision pain,limited mobility,anxietyvital sign changeslung sounds,cardiac rhythem,assess pain,
diet-avacado,friuts,vegetables,low fat diets,whole grains,low salts,avoid alcohol
