In the SICU our CABG/MVR's have their SWAN in but we do not wedge and the gtts our pretty standard-NTG, neosynephrine, Epi, propofol and sometimes a little Nipride (if HTN). If our hearts have a previous renal impairment we use low-dose dopa. All are on propofol for sedation with morphine/toradol for first 48 hours for pain relief.
Amicar is given in the OR and is off by the time we get the patient. Our Docs like to see a HR of 80 or above so we end up pacing them until their warmed and can maintain that consistently. As everyone knows it's a constant battle of the drips to get your patient where you want them hemodynamically. Hope this helps!
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