Uge 2: Restitution efter Mitral Valve Repair
Fase 1: Phase 1: Weeks 1-2 (dækker uge 1–2).
Restriktioner
- Hemodynamic instability
- Active surgical site infection or mediastinitis
- Suspected repair failure with significant residual regurgitation
- Unhealed or unstable sternum (sternotomy approach)
Eksempler på daglige aktiviteter
- Incentive Spirometer (Hourly) — Critical pulmonary hygiene to prevent atelectasis and pneumonia.
- Ankle Pumps & Quad Sets — Prevent DVT and maintain leg strength while activity is limited.
- Supervised Hallway Walking — Early mobilization is the cornerstone of ERAS cardiac recovery.
- Daily Pain & Symptom Check-In — Track pain, energy, mood, and any new symptoms to detect complications early.
- Wound / Incision Inspection — Check incision sites for infection (redness, drainage, dehiscence).
- Hydration & Nutrition Log — ERAS emphasizes early oral intake and adequate hydration.
Kontakt dit behandlerteam denne uge hvis:
- Sudden severe shortness of breath at rest or inability to lie flat (possible repair failure or heart failure)
- Sudden one-sided weakness, slurred speech, or vision loss (stroke or thromboembolism)
- Clicking, popping, or shifting of the breastbone with movement (sternotomy approach)
- Fast, irregular heartbeat with dizziness, chest pain, or fainting
- Coughing up frothy or blood-tinged sputum with breathlessness
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