Clinical pathway for early postoperative care

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1. Adrenergic (catecholamine)• Dobutamine - beta-agonist (ß1 >ß2). Increasescontractility and HR. ß2 effect can sometimesdecrease SVR and BP. ß1 effect can causedysrhythmias.• Epinephrine -alpha and beta agonist (ß > alpha).Increases HR, CO, and SVR.• Dopamine - stimulates dopaminergic, beta, andalpha receptors in dose-dependent fashion.
1. Phosphodiesterase inhibitors• Milrinone increases cardiac output. It alsodecreases Pulmonary Vascular Resistance (PVR)and thus can be useful if pulmonaryhypertension or significant right ventriculardysfunction is a problem.
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 14 and 15: • Assure that the endotracheal tu
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 44: 1. Adrenergic (catecholamine)• No

Clinical pathway for early postoperative care

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