Cardiovascular ICU
Abdominal Aortic Aneurysm (AAA) - ANS-- emergent, existence threatening circumstance
- surgical emergency to repair ruptured abdominal aorta.
Aortic valve alternative/repair - ANS-surgical procedure wanted for aortic valve regurgitation or
aortic valve stenosis (bentall surgical operation)
Coronary artery skip graft - ANS-known as a CABG
- most commonplace, improves blood flow to the coronary heart (contractility)
relying on how many vessels are used it could be labeled as single all the way to quadruple.
Echocardiogram - ANS-sound waves to supply pictures of your heart
Effects of Hypothermia - ANS--predisposes to ventricular dysrhythmias and lowers VF threshold
-will increase SVR; increases after load and myocardial workload
-patient shivering reasons accelerated peripheral O2 intake
- reduced CO2 manufacturing
How will we display Acid-Base stability in those sufferers? - ANS--ABG's
-keep cardiac patients alkalotic, acidosis effects from hypoxemia and occasional cardiac output
causing considerable tissue hypo perfusion.
-Hyperventilate publish op patients and use larger Vt.
If your CI is within the normal range or high what can you conquer? - ANS-patient does now not
have a extensive "pump" trouble and the reason of the hypotension is secondary to diminished
peripheral arterial tone (low SVR)
Implantable cardioverter defibrillator - ANS-ICDs are used to prevent cardiac fibrillation,
everlasting protect against surprising cardiac demise.
Indications for IABP - ANS-- cardiac failure after cardiac surgery
- refractory angina despite maximal scientific control
- cariogenic shock
- mitral regurgitation
- preoperative remedy of headaches due to myocardial infarction
- failed PTCA
- as a bridge for cardiac transplantaion
Inhaled nitric oxide - ANS-- will increase blood flow because of vasodilation (widening of the
vessels); prevent narrowing
, -improves RV fxn with the aid of decreasing RV after load
-advanced LV fxn and CO with advanced LV preload
- prevents fatty deposits (plaque) from sticking to the vessels partitions. Keeps the endothelium
elastic
- begin at 40PPM
-used off in a position on coronary heart transplant sufferers, VADs, ECMO, and any emergent
open chest procedure
Intra aortic balloon pump - ANS-IABP
- percutaneous assist device
-balloon is inserted through the femoral artery connected to a catheter, balloon is placed within
the descending aorta and is inflated throughout diastole(helium is used to inflate the balloon
because its sluggish density facilitates fast switch of gasoline.) Blood is redirected to the
coronaries once the balloon is inflated(improves contractility, in a roundabout way helps the
heart) helps up to two L of blood go with the flow
brief device used a a bridge to surgery.
Intravenous medicines normally used in CVICU - ANS-sedation= ativan, versed, propofol,
precedex
analgesia= morphine, fentanyl, dilaudid, toradol
Left Ventricular help device (LVAD) - ANS-Used in stop-degree coronary heart failure,
mechanical pump that takes over the job of the left coronary heart to correctly pump blood to the
relaxation of the frame.
Heart mate- tool is implanted inside the thoracic cage .
Open chest process, patient goes on skip- no pulse.
Impella- percutaneous method, catheter inserted thru the femoral artery to the left ventricle.
LIMA Bypass - ANS-CABG from Aorta to LAD.
Mitral valve alternative/restore - ANS-surgical treatment needed for mitral valve regurgitation or
mitral valve stenosis
Pacemaker - ANS-ship electric indicators to the coronary heart to govern the coronary heart
price, stopping it from going too sluggish or too speedy. More of a temp. Technique to constantly
correct coronary heart fee troubles.
Post Op Management - ANS-Warming- important for coagulopathy in bleeding patients. Done
with endure hugger.
Bleeding- scientific v surgical
Hemodynamic Management
Tamponade
Abdominal Aortic Aneurysm (AAA) - ANS-- emergent, existence threatening circumstance
- surgical emergency to repair ruptured abdominal aorta.
Aortic valve alternative/repair - ANS-surgical procedure wanted for aortic valve regurgitation or
aortic valve stenosis (bentall surgical operation)
Coronary artery skip graft - ANS-known as a CABG
- most commonplace, improves blood flow to the coronary heart (contractility)
relying on how many vessels are used it could be labeled as single all the way to quadruple.
Echocardiogram - ANS-sound waves to supply pictures of your heart
Effects of Hypothermia - ANS--predisposes to ventricular dysrhythmias and lowers VF threshold
-will increase SVR; increases after load and myocardial workload
-patient shivering reasons accelerated peripheral O2 intake
- reduced CO2 manufacturing
How will we display Acid-Base stability in those sufferers? - ANS--ABG's
-keep cardiac patients alkalotic, acidosis effects from hypoxemia and occasional cardiac output
causing considerable tissue hypo perfusion.
-Hyperventilate publish op patients and use larger Vt.
If your CI is within the normal range or high what can you conquer? - ANS-patient does now not
have a extensive "pump" trouble and the reason of the hypotension is secondary to diminished
peripheral arterial tone (low SVR)
Implantable cardioverter defibrillator - ANS-ICDs are used to prevent cardiac fibrillation,
everlasting protect against surprising cardiac demise.
Indications for IABP - ANS-- cardiac failure after cardiac surgery
- refractory angina despite maximal scientific control
- cariogenic shock
- mitral regurgitation
- preoperative remedy of headaches due to myocardial infarction
- failed PTCA
- as a bridge for cardiac transplantaion
Inhaled nitric oxide - ANS-- will increase blood flow because of vasodilation (widening of the
vessels); prevent narrowing
, -improves RV fxn with the aid of decreasing RV after load
-advanced LV fxn and CO with advanced LV preload
- prevents fatty deposits (plaque) from sticking to the vessels partitions. Keeps the endothelium
elastic
- begin at 40PPM
-used off in a position on coronary heart transplant sufferers, VADs, ECMO, and any emergent
open chest procedure
Intra aortic balloon pump - ANS-IABP
- percutaneous assist device
-balloon is inserted through the femoral artery connected to a catheter, balloon is placed within
the descending aorta and is inflated throughout diastole(helium is used to inflate the balloon
because its sluggish density facilitates fast switch of gasoline.) Blood is redirected to the
coronaries once the balloon is inflated(improves contractility, in a roundabout way helps the
heart) helps up to two L of blood go with the flow
brief device used a a bridge to surgery.
Intravenous medicines normally used in CVICU - ANS-sedation= ativan, versed, propofol,
precedex
analgesia= morphine, fentanyl, dilaudid, toradol
Left Ventricular help device (LVAD) - ANS-Used in stop-degree coronary heart failure,
mechanical pump that takes over the job of the left coronary heart to correctly pump blood to the
relaxation of the frame.
Heart mate- tool is implanted inside the thoracic cage .
Open chest process, patient goes on skip- no pulse.
Impella- percutaneous method, catheter inserted thru the femoral artery to the left ventricle.
LIMA Bypass - ANS-CABG from Aorta to LAD.
Mitral valve alternative/restore - ANS-surgical treatment needed for mitral valve regurgitation or
mitral valve stenosis
Pacemaker - ANS-ship electric indicators to the coronary heart to govern the coronary heart
price, stopping it from going too sluggish or too speedy. More of a temp. Technique to constantly
correct coronary heart fee troubles.
Post Op Management - ANS-Warming- important for coagulopathy in bleeding patients. Done
with endure hugger.
Bleeding- scientific v surgical
Hemodynamic Management
Tamponade
