Nursing Care Plan – Minimally Invasive Direct Coronary Artery Bypass

Minimally Invasive Direct Coronary Artery Bypass may be indicated for patients with a lesion of left anterior descending (LAD) artery. In one of the most common MIDCAB procedures, after a 2-inch left thoracotomy incision is made and the fourth rib is removed, the left internal mammary artery (IMA) is dissected and attached to the still-beating heart below the level of lesion in the left anterior descending (LAD). Patient tend to have more incisional pain after MIDCAB than after CABG surgery, but the pain can susually be managed with oxycodone or codeine.


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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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