1. Pre operative preparations for
CABG

2. BLOOD INVESTIGATIONS
BLOOD:
 CBC, RFT, LFT, RBS, FBS, ESR, S. electrolytes,
PT/INR, APTT, Serology(HIV, HCV, HBS AG.),
ABO& Rh grouping.
URINE:
 Routine
X Ray chest and ECG
USG Abdomen
Echo
Doppler: renal, lower and upper limb, B/L carotid

3. Physiological preparations
 Whole body skin preparation
 Anti microbial body wash
 Treat infections prior to the surgery
 Provide a ID band
 Bowel preparation

4. Consultations
 ENT
 DENTAL
 RESPIRATORY
 ANESTHESEA
 IF NEEDED OTHERS LIKE ENDOCRINE ect

5. Premedication
 Antibiotic administration
 Assess for any allergies

6. Psychological preparation
 Counseling
 Orientation

7. Consent
WRITTEN CONSENT FOR
 Surgery
 Anesthesia
 Blood infusion
 If needed collect a high risk consent
EXPLAIN COMPLICATIONS

8.  Blood arrangement
6 unit
 Hydrate the patient
I/O chart
 NPO

9.  Remove all artificial materials
 Monitor vital sign
 FIC clearance
 IV line access