Explain what Cardiopulmonary bypass (CPB) is.
Questions
1. Mr Franks has needed to undergo an aortic valve replacement. Consider this history and describe;
a. The two valve disorders that may lead to a patient needing to undergo a valve replacement.
b. Two signs that the nurse may have noted when performing a cardiopulmonary assessment on Mr Franks.
c. Two symptoms that Mr Franks may have complained of prior to needing valve replacement surgery.
2. Explain what Cardiopulmonary bypass (CPB) is.
a. Why is it (CPB) necessary for Mr Franks when undergoing an aortic valve replacement?
b. List and describe two (2) physiological effects cardiopulmonary bypass can have on a patient.
3. Which (if any) of the above laboratory results do you need to bring to the attention of the doctor and why?
4. Considering the current medications that Mr Franks is on, list the rationale (why are they given) considering his recent surgery and diagnosis.
a. Captopril
b. Paracetamol
c. Frusemide
d. Enaxoparin sodium
e. Slow K
f. Warfarin
5. Consider this patients 0600hrs vital signs. Which if any would you determine need to be more closely monitored and why?
6. Consider the above rhythm strip
a. What is the rate of this rhythm and comment on the rhythm?
b. Explain how you determined this rate
c. Identify the rhythm
d. What nursing actions if any are needed?
7. Consider the above vital signs.
a. List the vital signs that are a concern to you (if any) and why.?
b. Outline what action you should take next?
8. Consider the above laboratory results.
a. List the values that are a concern to you and why.?
b. Outline what (if any) action you should take next.
9. The doctor asks you to review the fluid balance chart for Mr Franks.
a. Why might the doctor be requesting you to review a fluid balance chart?
b. What would be an appropriate urine output for Mr Franks?
10. The doctor tells you that he suspects that Mr Franks may be developing acute kidney injury/renal failure.
a. Describe the pathophysiology of acute kidney injury / renal failure
b. In this patients case, discuss what the likely cause/s of Mr Franks acute kidney injury are?
7. Consider the above vital signs.
a. List the vital signs that are a concern to you (if any) and why.?
b. Outline what action you should take next?
8. Consider the above laboratory results.
a. List the values that are a concern to you and why.?
b. Outline what (if any) action you should take next.
9. The doctor asks you to review the fluid balance chart for Mr Franks.
a. Why might the doctor be requesting you to review a fluid balance chart?
b. What would be an appropriate urine output for Mr Franks?
10. The doctor tells you that he suspects that Mr Franks may be developing acute kidney injury/renal failure.
a. Describe the pathophysiology of acute kidney injury / renal failure
b. In this patients case, discuss what the likely cause/s of Mr Franks acute kidney injury are?