The Physiologic Impact of Cardiac Surgery: The Nursing Perspective

  • Bonnie R. Sakallaris

Abstract

Cardiac surgery has a profound impact on a patient’s physiology. Those who provide care for these patients pre and post operatively must be cognitive of these changes and provide adequate therapeutic interventions. What happens to the patient who enters the operating suite normothermic, anxious, and normotensive? Two to four hours later we care for a comatose, cold, clammy, edematous, hypertensive, tachycardiac patient. This chapter will explore the physiologic impact of cardiac surgery, specifically the areas of hypothermia, cardiopulmonary bypass and from the point of view of the type of surgical procedure.

Keywords

Permeability Surfactant Depression Dopamine Lactate 

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References

  1. 1.
    D.O. Feroe, S.D. Augustine: Hypothermia in the PACU. Critical Care Clinics of North America 3(1),135–144;1991.Google Scholar
  2. 2.
    C. Biddle: Hypothermia: ImpUcations for the critical care nurse. Critical Care Nurse, 5(2):34–37;1985.PubMedGoogle Scholar
  3. 3.
    R. Phillips, P. Skov: Rewarming and cardiac surgery: A review. Heart & Lung 17:511–520;1988.Google Scholar
  4. 4.
    S.K. Oliver, E. Fuessel: Control of postoperative hypothermia in cardiovascular surgery patients. Critical Care Nursing Quarterly 12(4):63–68;1990.PubMedGoogle Scholar
  5. 5.
    A.J. Ley: Fluid therapy follOwing intracardiac operation. Critical Care NtUse 8(1):26–35;1988.Google Scholar
  6. 6.
    A.P. Weiland, W.E. Walker: Physiologic principles and clinical sequelae of cardiopulmonary bypass. Heart & Lung 15(1):34–39;1986.Google Scholar
  7. 7.
    L.S. Kern: Advances in the surgical treatment of coronary artery disease. J Cardiovasc Nurs 1:1–14;1986.PubMedGoogle Scholar
  8. 8.
    L.H. Schakenbach: Physiologic dynamics of acquired heart disease. J Cardiovasc Nurs 1: 1-17; 1987.Google Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • Bonnie R. Sakallaris
    • 1
  1. 1.Washington Hospital CenterUSA

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