Which is an expected outcome after CABG?

• A. Maintain cognition & neurological status
• B. Maintain perfusion & hemodynamic status
• C. Meet elimination needs
• D. Promote tissue integrity & prevent infection

Answer: (B)

The key idea after CABG is that restoring blood flow to the heart and keeping circulation stable are the primary goals. The surgery reopens the arteries, so the immediate priority is ensuring adequate perfusion of the myocardium and maintaining steady hemodynamics so the heart can pump effectively and meet the body’s demands. This means keeping the mean arterial pressure in a safe range, achieving good cardiac output, and avoiding rhythm problems that could compromise blood flow. If perfusion or hemodynamics are not well-controlled, the heart tissue may not recover well or could be damaged further, undermining the success of the grafts. Other postoperative concerns like cognitive status, elimination needs, or tissue integrity are important, but they hinge on achieving and sustaining proper perfusion and cardiac function.