Immediate cardiac care (24- 72 hours) after operation, Biology

Immediate Care (24- 72 hours)

All monitoring and medications continued. Flushing of arterial lines are done at regular intervals with heparin flush as well as whenever arterial blood is taken for ABG. 12 lead ECG is recorded daily.

As the patient's condition stabilizes, with heart rate, pulse, respiration temperature and arterial BP within normal limit, the patient is weaned off form the pressure lines and vasodilators or vasopressor drugs. LA catheter, arterial pressure line ad CVP to catheter are removed and pressure dressing applied to the arterial puncture site and other dressing applied. Pacing wires kept in place. Hb and hematocrit value monitored daily. Non-invasive pressure monitoring done Q4H along other vital signs.

Fluid and Electorlytes

All fluid drained from the body is measured hourly and recorded. The colour also is noted. Drainage form each chest tube is measured hourly and if there is excess of chest drainage, specially bright red drainage, the patient is closely monitored for haemorrhage. Blood replacement as per hourly status is done. Many surgeon prefer to collect the drainage into an auto-transfusion set(within six hours of operation) and is transferred to the patient in the form of packed cell, platelet or plasma as per need.

IV fluid is infused using a volume flask and microchip set so that hourly needed fluid is infused. Urine output is measured hourly. The colour(any hematuria) specific gravity also in some cases are observed. In the initial hour (first 24 hours),urine output is more than normal due to hemodilution during surgery. Diuretics are administered if urine output is less than 0.5 mllkgfhr (>3ml/hour). See that the urinary catheter is not compressed gas. The colour and mount of gastric drainage (if present) is noted hourly. Serum electrolytes are monitored initially Q2FT and then Q4H for 24 hours and then twice a day. Supplement of electrolytes or correction of hyperkalemia done. Blood urea nitrogen are serum glucose is also done Q4H in the first 24 hours.

The patient is given a test feed after weaning off form ventilator. If tolerates, then start on oral feed of light fluids in small amount and as patient tolerates well, light semi-solid meal is given. Record the intake and output in the flow chart in ICU. Record daily weight. If the patient's condition stabilizes well, urinary catheter and other drainage tubes are removed.

The patient is gradually ambulated.

Posted Date: 10/30/2012 8:30:37 AM | Location : United States







Related Discussions:- Immediate cardiac care (24- 72 hours) after operation, Assignment Help, Ask Question on Immediate cardiac care (24- 72 hours) after operation, Get Answer, Expert's Help, Immediate cardiac care (24- 72 hours) after operation Discussions

Write discussion on Immediate cardiac care (24- 72 hours) after operation
Your posts are moderated
Related Questions
Set Up of Phototherapy Unit Phototherapy generally consists of four to eight cool white, day bright, or special blue fluroescent tube lights covered by a plastic shield and p

1. In chickens rose comb ( R ) is dominant over single comb ( r ). A rose-combed male is mated to a rose-combed female. Eighteen chicks are produced, ten of which are rose-combed,


Q. Use of Protective Eyewear as personal protective equipment? Protective lenses must be worn by dental personnel: 1. when performing procedures that can cause spatter or ae

Define Solubility affecting absorption of dietary iron? Solubility is crucial for non-haem iron absorption as the inorganic iron salts have to be solubilized in the intestine f


Explain Standard titration - Estimation of Vitamin C in Lemon Juice? Pipette 5 ml of standard ascorbic acid solution into a 100 ml conical flask. Fill the burette with the dye s

HEAR T - The cells called cardiocytes of atria of the heart secrete peptide hormone called atrial natriuretic factor (ANF) in response of an increased return of the deoxygen

Salt Glands in Birds and Reptiles Marine reptiles for example, iguanas, estuarine sea turtles, crocodiles, sea snakes and marine birds like the marine teleosts do not produce

Energy Storage As we said above, food intake and energy expenditure for animals is approximately equal. If energy expenditure exceeds food intake, then the excess energy is t