Postoperative Care of Cardiac Patients

作者: Carol L. Lake

DOI: 10.1007/978-1-4612-5048-7_8

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摘要: At the conclusion of a cardiac surgical procedure, patient must be safely tranported with continuous cardiovascular monitoring to recovery or intensive care area. This is usually performed by transferring each individual device portable, battery-powered monitor. The systemic and pulmonary arterial central venous pressures, electrocardiogram, heart sounds via esophageal stethoscope are monitored. Oxygen, positive pressure ventilation, administered using nonrebreathing system. Some self-inflating bags capable delivering only 50 60% oxygen at flow rates 6 8 liters (16), while Mapleson system bag reservoir e.g. Hope 2 Resuscitator, Laerdal Resusci 2, Bird Resuscitator (17) will provide 100% oxygen. A defibrillator, liter blood intravenous fluid, cardioactive drugs, such as calcium, lidocaine, thorazine, phenylephrine should accompany patient.

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