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advice on follow upthe patient should adhere to the follow-up schedule strictly generally one week after discharge then one month and then 3 to 6
advise on rest recreation sleepthe patient should take enough rest and get good sleep restrict the visitors so that the patient can get enough
exercises and ambulationcontinue taking all exercises taught in the hospital steam inhalation may be continued walk on levelled space first
medicationthe patient is advised to continue antibiotics for a week more after discharge other medications prescribed are analgesics acetaminopen
dietcontinue diet as prescribed at hospital some may continue fluid and salt restriction some may have to restrict iron and vitamin k rich food
rehabilitation of cardiac surgical patientsthe goal of nursing care of cardiac surgical patient is to make the patient to come back to his normal
infectiondue to the many invasive monitoring techniques et tube urinary catheter surgical interventions cultures of blood or sputumurineswab form
atelectasis and pneumoniasigns and symptoms are lv failure hypovolemia hypervolemia or renal vasoconstriction decreased breath sounds poor abg
cardiac tamponade suspect cardiac tamponade if there is a sudden cessation of chest drainage during immediate post-operative period the
dysrhythmiasusually occur during the initial 24-72 hours but may occur later on also the causes may be ventricular irritability due to
muromonab cd-3 orthoclone okt-3a monoclonal antibody against mature t lymphocytes okt-3 is primarily used to treat acute rejection episode iv
cyclosporineimmunosuppressive agent that is selective for lymphocytes mainly t lymphocytesroute oral parental dose as prescribedside-effects
corticosteroidanti-inflammatory and immuno suppressiveroute oral parental dose as prescribedside-effectssodium and fluid retention potassium and
patient after cardiac transplantthe major focus of medical and nursing care after transplantation is to prevent early identification of
anticoagulant therapyto prevent blood clotting on the valve patients with prosthetic valves require life long anticoagulant therapy the patient
transferring the patient form icu to wardthe patient is made to ambulate in icu before shifting to ward vitals are stabilized the ward
care of psychoemotional aspectsicu area is an area which is cut off from outside world modem icus are built in such a way that the sensory
prevention of infection1 strict asepsis practiced in icu 2 all the invasive lines are covered with sterile-drape 3
immediate care 24- 72 hoursall monitoring and medications continued flushing of arterial lines are done at regular intervals with heparin flush as
cardiac care on admission first two hoursecg is monitored by more than one lead three to five left atrial pressure arterial bp central venous
chest drainage tubes 24-72 hourscontinue milking of chest tube hourly monitor the amount colour and record on the flow chart assess
respiratory care on admission first two hourspatient is incubated and ventilator-dependent monitor blood gases hourly and take corrective
immediate post-operative carethe patient is accompanied to the icu by a surgeon anesthetist and the nurse who assisted for the surgery with
preparation of icucardiac surgical icu is generally connected to the operation theatre so that the patient can be wheeled into the icu after
post-operative care of patients the first few days following cardiac operations are the most critical in terms of the patients survival the safety