The client will be having a surgical procedure that does not use cardiopulmonary bypass, and the surgeon keeps the heart at a rate of 40 beats/minute. What surgical procedure does the nurse anticipate preparing the client for?
A) Port access coronary artery bypass (PACAB)
B) Heart transplant
C) Coronary artery bypass grafting
D) Off-pump coronary artery bypass (OPCAB)
D
Feedback:
OPCAB is very similar to conventional CABG except that it does not involve the use of a cardiopulmonary bypass machine. Instead, the surgeon keeps the heart beating at a slow rate (about 40 beats/minute) with drugs such as adenosine (Adenocard) and esmolol (Brevibloc). The other answers require cardiopulmonary bypass.
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