Fast Facts for the Cardiac Surgery Nurse: Caring for Cardiac Surgery Patients [3 ed.] 9780826136497, 9780826136527, 2019019655, 2019021657

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Fast Facts for the Cardiac Surgery Nurse: Caring for Cardiac Surgery Patients [3 ed.]
 9780826136497, 9780826136527, 2019019655, 2019021657

Table of contents :
Cover
Title
Copyright
Contents
Preface
Acknowledgments
Share: Fast Facts for The Cardiac Surgery Nurse
Chapter 1: Epidemiology of Coronary Artery Disease and Valve Disease and the Need for Heart Surgery
Coronary Artery Disease
Symptoms of CAD
Acute Coronary Syndrome
Unstable Angina
Non–ST Segment Elevation Myocardial Infarction
ST Segment Elevation Myocardial Infarction
Treatment of ACS
Dual Antiplatelet Therapy
Need for Surgery
Valve Disease
Mitral Stenosis
Mitral Regurgitation
Aortic Stenosis
Aortic Insufficiency
Congenital Heart Disease
References
Chapter 2: Diagnostic Tests
Noninvasive Testing to Detect Coronary Artery Disease
Exercise Treadmill Test and Exercise Stress Echo
Myocardial Perfusion Imaging
CT and MRI
Diagnostic Testing to Detect Valve Disease
Echocardiogram
Cardiac Catheterization
Right Heart Catheterization
Left Heart Catheterization
References
Chapter 3: Preparing a Patient for Cardiac Surgery
Pre-Op Examination
Laboratory Tests
Other Diagnostic Tests
Patient and Family Education
Pre-op Medications
Prevention of Infection
Patients Requiring More Intensive Care Prior to Surgery
Reference
Chapter 4: Cardiopulmonary Bypass
CPB Machine
Initiation of CBP
Catheter Placement
Cardioplegia
During Bypass
Blood Pressure During CPB
Coagulopathy
Systemic Inflammatory Response to CPB
Coming Off Bypass
Reversing Anticoagulation
References
Chapter 5: Coronary Artery Bypass Graft Surgery
Accessing the Heart
The Bypass Conduits
Saphenous Vein
Internal Mammary Artery
Radial Artery
Surgical Markers
Closing the Chest
References
Chapter 6: Valve Surgery
Valve Surgery
Tissue Versus Mechanical Valve
Tissue Valves
Mechanical Valves
Valve Replacement or Repair
Aortic Stenosis
Aortic Insufficiency
Mitral Stenosis
Mitral Regurgitation
Tricuspid Valve
Percutaneous Valve Surgeries
Transcatheter Aortic Valve Replacement
Mitraclip
References
Chapter 7: Other Surgical Treatments
Treatment of Atrial Fibrillation
Atrial Fibrillation
Ablation
Maze Procedure
Removal of the Atrial Appendage
Transmyocardial Revascularization
Ventricular and Circulatory Assist Devices
Left Ventricular Assist
Right Ventricular Assist
Biventricular Assist
Short-Term Assist Versus Long-Term Assist
Extracorporeal Membrane Oxygenation
References
Chapter 8: Off-Pump Surgeries and Minimally Invasive Techniques
Off-Pump Surgeries
Minimally Invasive Cardiac Surgery
Minimally Invasive Direct Coronary Artery Bypass
Minimally Invasive Valve Surgery
Endoscopic Procedures
Robotic-Assisted Surgeries
Complications of Minimally Invasive Cardiac Surgeries
References
Chapter 9: The First Few Hours: Initial Recovery
Patient Transfer from Operating Room to ICU
Hand-Off Communication
Initial Physical Assessment
Major Concerns During the Initial Recovery Period
Maintaining Hemodynamic Stability
Cardiac Surgery Advanced Life Support
Hypothermia
Respiratory Management
Complications Related to Extubation
Pain Management and Delirium
Complications Related to Anesthesia
Post-Op Nausea and Vomiting
Malignant Hyperthermia
Pseudocholinesterase Deficiency
References
Chapter 10: Complications: Initial Postoperative Period
Cardiac Complications
Low CO
Myocardial Ischemia and Infarction
Coronary Vasospasm
Cardiac Tamponade
Bleeding and Blood Transfusions
Prevention
Assessment
Diagnostics
Intervention
Pulmonary Complications
Atelectasis
Pleural Effusion
Pneumothorax
Prolonged Mechanical Ventilation
Pneumonia
Phrenic Nerve Injury
Acute Lung Injury
References
Chapter 11: Transition to Intermediate Care
Patient Readiness for Transfer
Cardiovascular Status
Respiratory Status
Neurological Status
Patient and Family Education
Preparing for a Lower Level of Care
Hand-Off Communication
Information That Must Be Communicated
Special Circumstances
Urgent Transfer to Make a Bed
Transfer to a Long-Term Care Facility from the ICU
ICU Liaison Nurse
References
Chapter 12: Extended Recovery Timelines
Goals for Recovery
Cardiovascular Status
Medications
Epicardial Pacing Wires
Respiratory Status
Fluid Status
Wounds and Drains
Drains
Midline Sternotomy Incisions
Caring for Incisions
Pain Control
Nutrition and Gastrointestinal Care
Bowel Care
Glucose Control
Activity
Laboratory Tests
Anticoagulation
Discharge Planning
Teaching
References
Chapter 13: Complications: Extended Recovery Period
Conduction Problems
Atrial Fibrillation
Conduction Blocks
Ventricular Arrhythmias
Neurological Dysfunction
Prevention
Assessment
Diagnostics
Intervention
Infection
Prevention
Assessment
Diagnostics
Intervention
Heparin-Induced Thrombocytopenia
Prevention
Assessment
Diagnostics
Intervention
Renal Failure
Prevention
Assessment
Diagnostics
Intervention
Gastrointestinal Complications
Prevention
Assessment
Diagnostics
Intervention
Postpericardiotomy Syndrome
Prevention
Assessment
Diagnostics
Intervention
Depression
Prevention
Assessment
Diagnostics
Intervention
References
Chapter 14: Stroke
Risk Factors for Stroke
Neurological Assessment
Diagnostic Testing
Noncontrast Head CT Scan
Computed Tomography Angiography
Diffusion-Weighted MRI
Magnetic Resonance Angiography
Brain Perfusion Studies
Types of Stroke
Ischemic Stroke
Hemorrhagic Stroke
Prevention of Secondary Injury
Hypoxia
Hypoglycemia and Hyperglycemia
Fever
Seizures
Hypertension and Intracranial Pressure Changes
Preventive Measures in Hemorrhagic Stroke
Reducing Other Complications for Stroke Patients
Rehabilitation and Long-Term Recovery
References
Chapter 15: Discharge and Rehabilitation
Preparing a Patient for Discharge
Delivering Information Necessary for Discharge
Discharge Teaching
Discharge Follow-Up
Other Considerations
Cardiac Rehabilitation
Phase I
Phase II
Phase III
Phase IV
Secondary Prevention
Diet
Blood Pressure Management
Lipid Management
Diabetes Management
Tobacco Cessation
Physical Activity and Exercise Training
Psychosocial Management
References
Index

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