Cardiac Surgery Essentials for Critical Care Nursing by Sonya R. Hardin, Roberta Kaplow

By Sonya R. Hardin, Roberta Kaplow

Cardiac surgical procedure necessities for severe Care Nursing is an evidence-based starting place for care of the sufferer in the course of the susceptible interval instantly following cardiac surgical procedure. A finished source, this article serves as a beginning for nurses commencing to take care of cardiac surgical procedure sufferers, in addition to a resource of complicated wisdom for nurses who've mastered the fundamental simple talents essential to take care of this sufferer inhabitants. It addresses major alterations in cardiac surgical procedure and the nursing tasks to satisfy the desires of those acutely in poor health sufferers, in addition to advances and methods to optimize sufferer results during this dynamic box. the best research relief for these readers getting ready for the AACN's Cardiac surgical procedure Certification, this publication positive factors severe pondering questions, a number of selection self-assessment questions, internet assets, scientific inquiry bins, and case reports.

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Angiotensin II increases systemic vascular resistance by causing vasoconstriction. It also stimulates the release of aldosterone from the adrenal glands. Aldosterone, a mineralocorticoid, causes sodium— and therefore water—retention. If the cause of renal blood flow decrease is blood loss, these compensatory mechanisms are helpful. Conversely, if low cardiac output is caused by pump failure, then these mechanisms actually work against cardiac function by increasing 23 afterload and water retention.

1. Left main stenosis 2. Proximal LAD and proximal left circumflex stenosis 3. Ongoing ischemia not responsive to maximal nonsurgical therapy 4. One- or two-vessel disease without proximal LAD stenosis when PCI not possible and meets high-risk criteria on noninvasive testing Class IIa: Evidence/opinion is in favor of efficacy. 1. Proximal LAD stenosis with one- or two-vessel disease Class IIb: Efficacy is less well established by evidence/opinion. 1. One- or two-vessel disease without proximal LAD stenosis when PCI not possible STEMI Class I: Evidence and/or general agreement that the intervention is effective.

2004). Table 3–1 lists the level of recommendations for each patient population. pdf 4/10/09 11:10 AM Page 29 Indications for Coronary Artery Bypass Grafting 29 Table 3–1 ACC/AHA Indications for CABG Asymptomatic or Mild Angina Class I: Evidence and/or general agreement that the intervention is effective. 1. Left main coronary artery stenosis 2. Proximal LAD and proximal left circumflex stenosis 3. Triple-vessel disease 4. Proximal LAD and one- or two-vessel disease with LVEF less than 50% or a large amount of myocardium at risk on noninvasive studies 5.

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