In: Nursing
Joey Jones a 70-year-old male client is scheduled
tomorrow morning for a port SS coronary artery bypass time three
graphs the procedure is also called a totally endoscopic coronary
bypass the client has a history of osteoporosis so the surgeon felt
the minimally invasive procedure would be the best because of
breastbone would not have to be entered the client has no history
of smoking cigarettes the surgeon has reviewed the cardio angiogram
results in a trans feel echocardiogram and stated he feels
confident that the client lesions can be successfully bypassed
using the p a c a b approach the client wife needs preoperative
education from the LPN question one.
what preoperative instruction should the LPN provide the client
family question two what nursing management will The client need
post-paratively
Coronary artery bypass grafting is a open heart surgery for coronary heart disease. It helps to remove the severe blockage of large cornoray arteries and improves the blood flow to the heart..
1) Preoperative instructions
Good preoperative instructions assists with recovery, increaseas patient contentment, and decreases post operative complications.
2) Postoperative nursing management
The nurses should anicipate the post operative complications and aware of timely management of these complications. It is a challenging phase.
Management of pulmonary complications
Hemodynamic
Neurologic management
Renal management
Gastrointestinal management
Pain management
A skilled, knowledgable, empathetic sincere nursing care for the patient after cardiac surgery is an asset for the achievement of positive outcome for the patient.