Info

Morphine

1-10 mg IV

Opioid analgesic

Relieves surgical pain

Fentanyl

50-100 |g IV

Opioid analgesic

Relieves surgical pain

Other Drugs: Diuretics

Independent

Focus on maintaining adequate circulation, preventing complications, and implementing patient education. For the nonsurgical patient, patient teaching includes information about low-fat, low-cholesterol diets to prevent progression of the atherosclerotic process and to treat hypercholes-teremia. Urge the patient to stop smoking cigarettes and provide information about smoking cessation.

For the surgical patient, focus on maintaining adequate circulation preoperatively and post-operatively, preventing complications, and patient teaching. Preoperative care of the elective surgical patient is the same as for any patient who undergoes general anesthesia. Postoperatively, care is similar to that of a patient who undergoes any chest surgery. Provide aggressive pulmonary hygiene every 1 to 2 hours to prevent pulmonary complications. Assist with range-of-motion exercises to limit the effects of immobility. Provide emotional support for the patient and significant others.

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