Pt post CABG changed in mental status - page 2
hi. i'm a nurse tech at a cardiac hospital. yesterday, a pt, 50 years old, was transferred from icu to our unit post cabg three days ago. the pt is ao x3, but i saw him getting out of bed with his... Read More
Oct 21, '07Joined: Jan '05; Posts: 4,765; Likes: 2,554Quote from ruby veesorry ruby! i didn't look at this actual pts age when i posted! i'm used to our cabg pts being in their 70s~a 50 year old cabg patient is a "younger" patient, not and "older patient"! !
Oct 21, '07Joined: Feb '06; Posts: 171; Likes: 86This is interesting, I had been wondering why it seemed like some of the LVAD pts on our unit seem so disoriented after their LVADS are placed...they can go from being A&O to needing a sitter for quite a while.
Oct 21, '07Occupation: cardiology R.N. Specialty: 25 year(s) of experience in cardiac med-surg ; From: CA ; Joined: May '03; Posts: 8,489; Likes: 147other co-morbidity factors ?
social habits ?
pump head ?
lack of sleep
Oct 22, '07Occupation: RN & CRN Tele/PCU Specialty: 5+ year(s) of experience in Cardiac Telemetry/PCU, SNF ; From: US ; Joined: Jun '05; Posts: 306; Likes: 195Pump head? I like it. Haven't heard that one!
2 that jumped out at me were anoxia or ETOH. How about irregular rhythms? I know our docs liberally prescribe metoprolol post-op that even with holding orders sometimes those HRs get a little low.
Usually goes away in a day or two. If not start thinking other things...