Nursing Care Plan – Coronary Artery Bypass Graft

Coronary Artery Bypass Graft surgery is the most common type of cardiac surgery and the most common procedure for older adults. The occluded coronary arteries are bypassed with the client’s own venous or arterial blood vessel or synthetic grafts. The internal artery (IMA) is the current graft of choice because it has a 90% patency rate at 12 years after the procedure. The vessels to be bypassed should have proximal lesions occluding more than 70% of the vessel’s diameter but with good distal runoff. Bypass of less occluded vessels may result in poor perfusion through the graft and early obstruction. The procedure is most effective when good ventricular function remains and the ejection fraction is more that 40% to 50%.

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Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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