| A | B |
|---|
| inotropes | dopamine, dobutamine, inocor (amrinone) |
| inotrope that increases HR, increase myocardial contractility | dopamine |
| inotrope that increasees contaractility, decreases SVR (& Hyla says helps oepn the kidneys) | dobutamine |
| inotrope that improves contractility | Inocor (Amrinone) |
| increases hr,increases contractility and stimulates glucose production | epinephrine |
| vasodilators used in OHRR | ntg, nitroprusside |
| comb in vasodilator & vasoconstrictors often used together | nipride & dopamine |
| drop in SVO2 may indicate | bleeding, drop in hgb, drop in CO, possible re-occlusion of graft |
| desired BP & MAP | >60 to perfuse coronary arteries |
| HR & NSR desired post op | 80-90 BPM |
| Resp rate on vent | 10-12 |
| TV (tidal volume) | 10 ml/kg |
| PCWP desired | 5-15 |
| CVP desired | 4-10 |
| PAP desired | 25/15 |
| MAP desired | >60 |
| SVR desired | 900-1200 |
| SVRI desired | <25 (19-24) |
| CO/CI desired | 2.5-4 (CI) |
| weaning parameters: tidal volume | 7-10 |
| weaning parameters: rate | 12-20 breaths/min. |
| weaning parameters: vital capacity | 2 times avg. TV |
| weaning parameters: FIO2 | 30-40% with nl p02 on abg's |
| when extubating put on | mask, then nc |
| mortality rate for CABG | 2% |
| TMR (transmyocardial revascularization) | high powered laser opens up channels in heart, punches holes |
| indication for TMR | pts with widespread atherosclerosis with vessels too small/too many for balloon angioplasty |
| in Phase 1 CABG rehab pt. shouldn't | use arms to push or pull |
| in Phase 1 CABG rehab HR cautions | >20 BPM |
| in Phase 1 CABG rehab caution for systolic bp | >20 mm HG |
| in Phase 1 CABG rehab caution for diastolic bp | 15-20 mmg hg |
| Phase 2 CABG rehab starts | 10-14 days post d/c |
| Phase 2 CABG rehab includes sexual activity or climbing 2 flights of stairs | 4-8 weeks |
| Phase 2 CABG rehab f/u with HCP | 8-9 weeks |
| Post MI rehab discharge from hosp | 5-8.5 days essentially |
| CABG discharge | sooner than with AMI |
| Phase 3 AMI intermediate outp. | cardiace rehab 4-6 mos, symptom limited exercise test |
| PHase 4 maintenance outpt. for AMI | self managemetn, annual testing, blah, blah, blah |
| CABG Phase 3 | exercise, self management, annual testing |
