Cardiac Bypass Surgery Post-Op Monitoring Template
Patient Information
Name
Medical Record #
Age
Date
Surgeon
Vital Signs
Temperature (°C)
Blood Pressure
Heart Rate
Respiratory Rate
O
2
Saturation (%)
Cardiac Output & Hemodynamics
CVP
PA Pressure
Cardiac Index
ECG Interpretation
Drains & Lines
Chest Tube Output (ml)
Other Drains
Central Line Location
Arterial Line Location
Respiratory
Ventilator Settings
Breath Sounds
Renal
Urine Output (ml/hr)
Creatinine
Neurological
Level of Consciousness
GCS Score
Wound Assessment
Incision Site
Laboratory Values
Hematocrit
WBC
Platelets
Electrolytes
Medications/Infusions
Current Medications
Vasoactive Agents
Notes/Plan