Coronary artery bypass graft patient discharge review

  Post-operative medications: 1. Take oral coronary expansion drugs (such as Lunanxinkang, Imodium, etc.).  2.Pulse should be kept at 60-70 beats/min. Please adjust the dosage of Bisoprolol, Betaxolol or Atenolol to regulate the heart rate, and be careful not to stop the medication suddenly, as it may cause reflex tachycardia.  3, long-term oral aspirin (100mg/time once a day) or Tegra (25mg/time once a day), Bolivar (75mg/time once a day), to achieve the purpose of anticoagulation. Ruan Xinhua, Cardiovascular Surgery Department, General Hospital of Tianjin Medical University 4. After surgery, we should insist on taking lipid-lowering drugs to prevent the restenosis of the “bridge” vessels, and pay attention to the changes of liver function. If cholesterol increases, you can take statin lipid-lowering drugs; if triglycerides increase, you can take Lipizzan. When the blood lipids are normal, the dosage can be reduced.  5, there are conditions, can take oral coenzyme Q, Sholodite, to nourish the myocardium, to promote the formation of myocardial collateral circulation.  6.Patients with hypertension should pay attention to the control of blood pressure, and can take oral ACEI drugs (such as Mono, Kaipotong, etc.), ARB drugs (Dynavin, Kosua, etc.), calcium antagonists (such as Hepesin, Hepesin, Bexin, etc.).  7. Patients with diabetes should pay attention to the control of blood glucose, and can take oral hypoglycemic drugs (Gevalt, Glucophage, etc.) or subcutaneous injection of insulin.  8. The anti-inflammatory drugs and oral fluids brought at the time of discharge can be discontinued after taking them, and generally do not need to be renewed.  Post-operative review and care: 1. Patients should review ECG, liver function and blood lipids on an empty stomach half a month, one month, three months, six months and one year after surgery.  2.The chest belt is applied for about 3 months. Legs apply elastic stockings, pay attention not to soak feet in hot water, but elevate feet properly when sleeping to promote venous reflux.  3.When angina attacks, immediately take nitroglycerin tablets or quick-acting heart pills or anti-cardiac tablets. If there are conditions, at the same time oxygen. If the pain is aggravated or persistently not relieved, brake and consult a doctor.  4, the diet advocates a small number of meals, binge eating is strictly prohibited. Try not to choose fatty meat, animal oil, chocolate and other foods. Use vegetable oil. Moderate consumption of soy products, egg yolk, etc. Eat less animal offal, as it contains high cholesterol. Ginger, turtle, garlic, kelp, tea, mushrooms, fresh milk, red pepper and fish can lower cholesterol. Eating more vegetables and fruits can reduce the absorption of cholesterol in the intestine, which is good for preventing coronary heart disease and also prevents constipation. Salt consumption should be limited. Quit smoking, quit drinking alcohol and forbid drinking strong tea. Avoid flatulent food, such as: raw radish, raw cucumber, cabbage, dry beans, etc., so as not to affect the heart activity with gastrointestinal distension.