Özet:

The most common cardiovascular disease in adults is coronary arterial diseases, so it is important to determine the risk factors that prepare the ground for the formation of these diseases and to apply secondary protection measures.At 85 years old, the patient was taken to the cardiology department with the cause of the complaint of back pain in the immersive style. After anjiography, with the pre-diagnosis of Aterosclerotic Cardiovascular Disease, the cardiovascular surgery was transferred to the clinic. He was taken intensely after the operation. The physical examination of the maturity performed daily and according to the data obtained by the evaluation of the laboratory and monitoring findings, nursing problems were identified and care was carried out. Acute pain, less nutrition than the body needs and disruption in skin integrity, the risk of disruption in the electrolyte balance, disruption in the sleep form, disruption in gas exchange, changes in gastrointestinal functions, the risk of developing hyperglycemia, the risk of reduction in the heart debt associated with a decrease in myocardial contracility, the risk of bleeding, significant nursing problems. From the reception of the patient to the intensive care unit, the forecast was good by implementing comprehensive nursing care in cooperation with the intensive care team and preventing possible risk/complications development. The post-op care in the early period is quite important. In this case, the patient who has undergone the Coronary By-Pass operation is intended to pay attention to the importance and necessity of the nursing initiatives, the stages of the nursing process are studied in the early post-op period. The sharing of studies and experiences on this subject will contribute to the improvement of information and the improvement of nursing practices.

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