Adult Cardiac Surgery: Nursing Care and Management by Helen Inwood

By Helen Inwood

This e-book will solution the questions commonly asked by way of newly certified nurses or nurses getting into the distinctiveness of cardiac surgical procedure. It identifies the wishes of the grownup sufferer improving from cardiac surgical procedure, and makes a speciality of the extra universal methods of coronary artery skip graft and valve surgical procedure. the data supplied will let facts established nursing care to help interventions within the assembly of these needs.This textual content will let nurses during this professional region to pay attention to a excessive uncomplicated normal of nursing care, making sure that the wishes of the sufferer should not missed within the pursuit of technological development. It discusses the most problems that could happen and the way those might be handled.

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Extra resources for Adult Cardiac Surgery: Nursing Care and Management

Example text

For patients who have required previous sternal operations, the lateral radiograph demonstrates the chest wires, the proximity of the heart to the sternum and the possible extent of 38 Adult Cardiac Surgery: Nursing Care and Management pericardial adhesions. Rib notching may be evident on the left side of the thorax because of the tortuous path of hypertrophic intercostal arteries in patients with coarctation of aorta. Echocardiography and Doppler ultrasonography Being non-invasive and not requiring the use of ionising radiation, echocardiography is ideal for the evaluation of seriously ill adults.

Blood pressure proximal to the coarctation is elevated whereas blood pressure distal to the lesion is decreased. Upper body hypertension and absent or diminished femoral or pedal pulses may be detected on physical examination. In adults, the coarctation is often found at the junction of the aortic arch and the descending aorta distal to the left subclavian artery and the ligamentum arteriosum (formerly the PDA). The condition may remain asymptomatic in early life and adolescence. It may present as hypertension, as heart failure (developing between 30 and 40 years old) or as a subarachnoid haemorrhage caused by rupture of a congenital berry aneurysm in the circle of Willis, which is associated in 15% of cases.

The ECG may show atrial dysrhythmias and various degrees of heart block. Echocardiography has become the most useful non-invasive method of recognising cardiac tumours. With improvements in diagnostic capabilities, cardiac tumours can be detected early and successfully treated with surgery. Excision of an atrial myxoma is the most common surgical procedure performed for cardiac tumours. Tumours located within the ventricle or the AV conduction system, or attached to the papillary muscles, chordae tendineae and cardiac valves, may also be excised.

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