What needs to be monitored after CABG?
Monitor chest tube drainage (generally serosanguineous) and report drainage of over 100 ml/hour. Watch for signs of bleeding by checking the patient’s hemoglobin and hematocrit levels at least every 4 hours. Administer blood if ordered. Monitor the patient’s electrolytes and report abnormal values.
How do you take care of a patient after bypass surgery?
Shower every day, washing the incision gently with soap and water. DO NOT swim, soak in a hot tub, or take baths until your incision is completely healed. Follow a heart-healthy diet. If you feel depressed, talk with your family and friends.
What are the contraindications for CABG?
Contraindications to CABG include patient refusal, coronary arteries incompatible with grafting, and the absence of viable myocardium to graft.
What is the most common complication of CABG?
The major complications associated with CABG are death, myocardial infarction, stroke, wound infection, prolonged requirement for mechanical ventilation, acute kidney injury, and bleeding requiring transfusion or reoperation [1-4].
What is the best exercise after heart surgery?
Pace yourself when climbing stairs. Exercising in cold and windy or hot and humid weather puts stress on your heart. If temperatures outside are below 40 degrees or above 75 degrees, then exercise indoors. Riding a stationary bike or walking on a treadmill is an acceptable alternative to walking.
How long is bed rest after CABG?
Rest when you feel tired. Getting enough sleep will help you recover. Try to sleep on your back while you heal. If your breastbone (sternum) was cut, healing usually takes about 4 to 6 weeks.
Can you climb stairs after bypass surgery?
Climbing stairs is OK, but be careful. Balance may be a problem. Rest halfway up the stairs if you need to. Light household chores, such as setting the table, folding clothes, walking, and climbing stairs, should be OK.
What is Lima in CABG?
The Left internal mammary artery (LIMA) is considered the conduit of choice for the surgical treatment (CABG, coronary artery bypass grafting) of Coronary artery disease (CAD) due to its superior long term potency than the other conduits.
What is the difference between bypass surgery and open-heart surgery?
The bypass machine is necessary to pump blood while the heart is stopped. While the traditional “open heart” procedure is still commonly done and often preferred in many situations, less invasive techniques have been developed to bypass blocked coronary arteries.
Is high blood pressure common after bypass surgery?
Coronary Artery Bypass Grafting Hypertension commonly occurs after CABG and requires therapy to prevent potentially injurious effects. After CABG, there are multiple reasons why BP increases, including pain, stress, and withdrawal of BP medications, which patient was receiving preoperatively.
When can I resume normal activities after open heart surgery?
If you had open heart surgery and the surgeon divided your sternum, it will be about 80% healed after six to eight weeks. “By that time, you’ll generally be strong enough to get back to normal activities such as driving,” Dr. Tong says. “You can probably also return to work, unless your job is physically strenuous.”