Clinical pathway for early postoperative care

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• Assure that the endotracheal tube is in properposition and the patient has equal air entrybilaterally.• Verify that the patient's oxygen saturation isadequate. Check the ABG results as soon asthey are available.• Verify correct ventilator settings.
• Check the initial hemodynamic readings (HR, BP,cardiac output and index, CVP, PCWP) anddetermine what vasoactive infusions the patientis on and at what rates.• Check the patient's heart rhythm. Verifypacemaker settings if the patient is connected toone.• Check the chest and mediastinal drainage sumpsto ensure they are patent and that the patient isnot bleeding excessively.
Page 1 and 2: Wariya Sukhupragarn, MD.Assistant P
Page 3 and 4: • Improve patient flow• Reduce
Page 6 and 7: • Early postoperative tracheal ex
Page 9 and 10: • Patient background (age, sex)
Page 11 and 12: • Need for cardiac pacing• Use
Page 16 and 17: • Examine heart sounds. Listen fo
Page 19: Raspunde: Seful Serviciului Rutier-
Page 22 and 23: http://www.med-ed.virginia.edu/cour
Page 24 and 25: http://www.medscape.com/viewarticle
Page 27 and 28: • CPB is usually accompanied by h
Page 29 and 30: • Medical bleeding• Surgical bl
Page 31 and 32: • Residual heparin effect• Qual
Page 33 and 34: • Desmopressin (Minirin, DDAVP)
Page 35 and 36: • Fresh Frozen Plasma.• Normall
Page 37 and 38: • Antifibrinolytic agents.• Epi
Page 40 and 41: 1. BP = CO x SVR2. CO = HR x SV (st
Page 42 and 43: 1. Adrenergic (catecholamine)• Do
Page 44: 1. Adrenergic (catecholamine)• No

Clinical pathway for early postoperative care

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