Adult Cardiac Surgery: Nursing Care and Management by Helen Inwood

By Helen Inwood

This booklet will resolution the questions commonly asked by means of newly certified nurses or nurses coming into the strong point of cardiac surgical procedure. It identifies the wishes of the grownup sufferer getting better from cardiac surgical procedure, and makes a speciality of the extra universal tactics of coronary artery skip graft and valve surgical procedure. the knowledge supplied will allow proof dependent nursing care to aid interventions within the assembly of these needs.This textual content will enable nurses during this professional zone to be aware of a excessive uncomplicated average of nursing care, making sure that the wishes of the sufferer are usually not ignored within the pursuit of technological development. It discusses the most issues which can take place and the way those may be handled.

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The following are some of the common factors: • • • • • atrial fibrillation aortic stenosis mitral stenosis infective endocarditis left atrial myxoma. 32 Adult Cardiac Surgery: Nursing Care and Management Oedema Factors important in cardiac disease are elevated venous pressure (congestive cardiac failure, pericardial constriction), increased extracellular volume (salt and water retention), secondary hyperaldosteronism, hypoalbuminaemia (liver congestion, anorexia and poor diet), venous disease and secondary renal failure.

As progressive pulmonary vascular disease may lead to rapid and irreversible cardiac failure, it is recommended that adults with PDA undergo surgical closure. Atrial septal defect Atrial septal defects (ASDs) are among the most common of the congenital malformations seen in adulthood. ASD is commonly the result of a failure in the development of the septum secundum. Although blood being shunted from the left atrium to the right atrium increases pulmonary blood flow, the right atrium and the lungs are generally able to tolerate this increased volume for many years.

Screening may indicate patients with carotid artery disease who should be monitored for the development of cerebrovascular accident (CVA). , 1992). , 1994). Detection of a carotid bruit should prompt examination with duplex sonography. If severe (> 70%) stenosis of the carotid artery is detected, clinical judgement is required in relation to the need for carotid endarterectomy and debate continues over the timing of this (Mills, 1995). Endarterectomy is superior to medical treatment for these patients.

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