[성인간호학실습] 심근경색증 STEMI 환자 CABG case sudy -간호진단9개, 간호중재 5개

소개

[성인간호학실습] 심근경색증 STEMI 환자 CABG 수술한 케이스입니다.
간호진단9개, 간호중재 5개 자세히 기록되어 있습니다.

목차

1. 문헌고찰
1) 원인
2) 증상
3) 진단
4) 치료

2. CASE STUDY
1) 간호사정
2) 검사
3) 투약
4) 간호진단
5) 간호중재

본문내용

수술명: Aortocoronary bypass of two or more coronary artery
수술 일자: 2022-05-02
마취 종류: General
수술 절차
1. General anesthesia-> median sternotomy
2. Simultaneous LITA & Saphenous Vein harvest (Lt Calf, Thigh)
3. Systemic heparinization
4. Ascending aorta and single RA cannulation --> CPB on
5. Aortic root cannulation
6. ACC --> cardioplegic infusion (antegrade)
7. Each target vessel were checked for anastomosis
8. SV distal anastomosis on OM
9. SV (from OM) proximal sequential anastomosis on Dia
10. SV distal anastomosis on PL
11. In situ LITA distal anastomosis on LAD
12. SV proximal anastomosis on ascending aorta (x2)
13. ACC off --> deairing
14. CPB weaning --> Hemofiltration --> Protamine reverse
15. Decannulation --> Bleeding control
16. Wound closure

수술 소견
<Procedure>
CABG (1+3, LITA to LAD, SV to OM, Dia(sequential anastomosis), SV to PL)

<Indications>
1. HTN, chest pain
2. CAG – vessel disease

참고자료

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