Risk factors Pathophysiology: CABG: Coronary artery bypass grafting (CABG) may be the treatment of choice for people
Admitting diagnosis: Unstable with significant CAD who do not respond to medical treatment and who are not suitable candidates for PCI. It may also
be indicated as an emergent treatment for STEMI, in which case the surgery should be done within 4 to 6 hours of
Angina Obesity, hyperlipidemia, symptom onset if possible. The procedure involves revascularization of the affected myocardium by placing a
smoking, Family history of heart saphenous vein graft between the aorta and the affected coronary artery distal to the site of occlusion, or by using the
Surgical procedure: CABG internal mammary artery to revascularize the left anterior descending artery or its branches. One to five distal
disease, HTN, diabetes anastomoses commonly are done. Emergent or urgent CABG, as a reperfusion strategy, is indicated in situations such
Pertinent PMH/PSH: as failed PCI with persistent pain or hemodynamic instability, or for patients who are not candidates for PCI or
fibrinolytic therapy.
HTN, Hyperlipidemia, Diabetes
Mellitus, Fatty liver, Sleep apnea,
Unstable angina
Patient S/S
Last V/S, including O2 sat and
pain scale Sub-sternal chest pain Lab values with discussion of Diagnostic tests with discussion of
Unstable angina expected/unexpected findings expected/unexpected findings
HR-80, BP-146/73, RR-20, Spo2-
Weakness, weight loss, and
92%, Temp-36.4, Pain 6/10 EKG
anorexia, fatigue Na-136 Low
RBC-4.02 Low
Current treatments (IV, SOB
K-36 low Chest X ray
medications, catheters, tubes, Activity intolerance Hgb- 12.8 Low
drains. O2, ostomies) Cl- 95 low
Hct- 36.4- low Stress test
Right subclavian vein PICC line- CO2- 31 high
Glucose-155 high
triple lumen, Foley catheter, O2-
RA
Evaluation
References:
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