Pre-op / POD #0
Name 2 labs that need to be drawn pre-operatively
CBC, coags, chem 7, A1C, LFT, UA, MRSA, Type & Screen
If patient has a mechanic valve what medication gets administered starting POD# 1?
Coumadin
How many walks is the goal on POD# 2?
3x/day
What should patients watch on POD #3?
D/C videos
What is the earliest D/C day?
4
Name 2 tests that are preformed pre-operatively.
CXR, EKG, ECHO, Chest CT, PFT, Carotid U/S, Vein Mapping
What gets removed on POD #1
Chest Tubes
You should notify the APP if UOP is less than how much cc per hour?
< 30 cc
What gets removed by APPs on POD# 3?
epicardial wires
What 3 medications do patients get discharged home on post-op CABG?
When do the pre-op scrubs occur?
night prior and morning of surgery
At what time does the foley get removed?
10 PM
What time are patients DTV by?
0200-0400
Name 1 thing that gets removed by RNs on POD# 3?
dressings, ace wraps, SCD
Patients can travel off the floor how many hours after epicardial wire removal?
4-6 hours
What time can patients have clears until pre-operatively?
5 AM
What are sternal precautions?
No pushing pulling tugging anything over 10 lbs for 10 weeks
Able to turn off the pacer box if patients HR >60 x24 hours without pacing and pt. has received 2 dose of what medication?
Lopressor
What gets started at 0000 on POD#3 if patient has a mechanical valve and subtherapeutic INR?
Heparin gtt
What POD can prevena dressings be removed?
7
When do the antibiotics get discontinued?
Within 24 hours of chest closure
Radial artery graft patients are transitioned from IV Nitro to what medication?
Norvasc
What do we need to obtain in order to remove the IJ?
2 PIVs
What temperature should you report to APPs?
>101.5
When is their follow-up cardiac surgery appointment?
3-4 weeks