CARDIOPULMONARY SYSTEMS II
cardiopulmonary systems II-
Cardiovascular, Thoracic Surgical
Interventions & Organ
Transplantation LATEST VERSIONS
REAL EXAM QUESTIONS AND
CORRECT ANSWERS |AGRADE
-atelectasis, pneumonia, respiratory failure - ✔✔ANSWER✔✔-
´Major causes of perioperative morbidity and mortality are respiratory
complications
include...?
-Infection, ischemia—reperfusion injury, acute graft failure, acute
rejection
,CARDIOPULMONARY SYSTEMS II
-Symptomatically, infection and acute rejection are noted to have low-
grade fever and leukocytosis - ✔✔ANSWER✔✔-for lung
transplantation. what are some complications?
-should not preclude patients participation in PT
-mobility is encouraged - ✔✔ANSWER✔✔-two things to
remember for chest drainage tubes and PT:
·No lifting more than 5-10 lbs
·No reaching behind the back
·No pushing or pulling through the arms
·Additional instructions may prohibit reaching overhead with one or
both arms, or driving
·Splinting with coughing and bed mobility
Recommended adherence can last anywhere between 4 to 12 weeks -
✔✔ANSWER✔✔-what are the sternal precautions?
´Noninvasive ventilation or BiPAP - ✔✔ANSWER✔✔--tightly
fitting nasal mask to deliver positive airway pressure (blowing air out)
during inspiration and expiration
´PuPulmonary veins are detached from heart with cuff of left atrium
, CARDIOPULMONARY SYSTEMS II
´lmonary arteries are transected
´Lungs removed en bloc (all together), divided into separate right and
left lungs - ✔✔ANSWER✔✔-what is the process for harvesting of
donor lungs?
abdominal aortic aneurysmectomy - ✔✔ANSWER✔✔-´Open
approach or minimally evasive (EAVR)
´Aneurysms greater or equal to 5 cm or with rapid aneurysm
enlargement or sudden change in pain
-patients are high risk for pulmonary complications due to incisional
pain, limiting coughing and deep breathing
acute postoperative inpatient phase - ✔✔ANSWER✔✔--PT eval
initial in ICU within 12-24 hours
-protective isolation is observed
-Transplant recipients are initially intubated and mechanically
ventilated
-Multiple medications, multiple intravenous lines, chest drainage tubes,
endocardial pacemaker wires, urinary catheter, multiple monitoring
lines
cardiopulmonary systems II-
Cardiovascular, Thoracic Surgical
Interventions & Organ
Transplantation LATEST VERSIONS
REAL EXAM QUESTIONS AND
CORRECT ANSWERS |AGRADE
-atelectasis, pneumonia, respiratory failure - ✔✔ANSWER✔✔-
´Major causes of perioperative morbidity and mortality are respiratory
complications
include...?
-Infection, ischemia—reperfusion injury, acute graft failure, acute
rejection
,CARDIOPULMONARY SYSTEMS II
-Symptomatically, infection and acute rejection are noted to have low-
grade fever and leukocytosis - ✔✔ANSWER✔✔-for lung
transplantation. what are some complications?
-should not preclude patients participation in PT
-mobility is encouraged - ✔✔ANSWER✔✔-two things to
remember for chest drainage tubes and PT:
·No lifting more than 5-10 lbs
·No reaching behind the back
·No pushing or pulling through the arms
·Additional instructions may prohibit reaching overhead with one or
both arms, or driving
·Splinting with coughing and bed mobility
Recommended adherence can last anywhere between 4 to 12 weeks -
✔✔ANSWER✔✔-what are the sternal precautions?
´Noninvasive ventilation or BiPAP - ✔✔ANSWER✔✔--tightly
fitting nasal mask to deliver positive airway pressure (blowing air out)
during inspiration and expiration
´PuPulmonary veins are detached from heart with cuff of left atrium
, CARDIOPULMONARY SYSTEMS II
´lmonary arteries are transected
´Lungs removed en bloc (all together), divided into separate right and
left lungs - ✔✔ANSWER✔✔-what is the process for harvesting of
donor lungs?
abdominal aortic aneurysmectomy - ✔✔ANSWER✔✔-´Open
approach or minimally evasive (EAVR)
´Aneurysms greater or equal to 5 cm or with rapid aneurysm
enlargement or sudden change in pain
-patients are high risk for pulmonary complications due to incisional
pain, limiting coughing and deep breathing
acute postoperative inpatient phase - ✔✔ANSWER✔✔--PT eval
initial in ICU within 12-24 hours
-protective isolation is observed
-Transplant recipients are initially intubated and mechanically
ventilated
-Multiple medications, multiple intravenous lines, chest drainage tubes,
endocardial pacemaker wires, urinary catheter, multiple monitoring
lines
