By Helen Inwood
This e-book will resolution the questions commonly asked through newly certified nurses or nurses getting into the uniqueness of cardiac surgical procedure. It identifies the wishes of the grownup sufferer improving from cardiac surgical procedure, and specializes in the extra universal techniques of coronary artery skip graft and valve surgical procedure. the data supplied will let proof established nursing care to aid interventions within the assembly of these needs.This textual content will enable nurses during this professional zone to pay attention to a excessive simple ordinary of nursing care, making sure that the desires of the sufferer usually are not overlooked within the pursuit of technological development. It discusses the most issues which can take place and the way those could be handled.
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Additional info for Adult Cardiac Surgery: Nursing Care and Management
Skin cleansing and shaving To reduce the incidence of wound infections, a recognised complication of any surgery (see Chapter 9), attention is required to skin hygiene and shaving. Hibiscrub showers are advocated before cardiac surgery to prevent wound contamination by organisms on the skin. The recent and continuing escalation in the incidence of methicillin-resistant Staphylococcus aureus (MRSA) has caused some hospitals to promote a 5-day course of Hibiscrub showers, including the hair. Patients unable to shower are bed bathed.
It is thought that the functions of the pericardium are to stabilise the position of the heart within the chest, reduce friction between the surface of the heart and surrounding tissues, protect the heart against the spread of infection from adjacent structures, prevent cardiac overdilatation, and maintain the normal pressure–volume relationships of the cardiac chambers. Pericarditis There are numerous causes of pericarditis. The most common is idiopathic or viral pericarditis; other causes include bacterial infection, malignancy, trauma, irradiation, and inflammation secondary to drug reaction and autoimmune disease.
ST elevation in a patient with a previous Q wave MI usually indicates an underlying dyskinetic segment. In the absence of Q waves, ST elevation indicates severe ischaemia. Pseudonormalisation, in which a previously inverted T wave or depressed ST segment normalises during exercise, is a subtle but less reliable marker for myocardial revascularisation. Preoperative preparation 37 Arrhythmia If ventricular ectopic activity appears or increases, underlying myocardial ischaemia or left ventricular dysfunction should be suspected.
Adult Cardiac Surgery: Nursing Care and Management by Helen Inwood