Hello Dr Faisal here,
I have read and understood your query, I will suggest you as if he is over weight? What about his BMI (height required).
In back ground of irregular heart beat, he needs 24 hour or 48 hour holter monitoring and defect needs to be worked upon if caught.
In future patient should be strictly checked for
allergy, any new drug if started.
There is a very high chance of getting any
arrhythmia after CABG surgery so patient should be vigilantly monitored for any
syncope or collapse and ideally should not go to toilets for an initial 7 to 10 days. Or at best for initial 15 days.
Joints other than fractured ankle and other 3 limbs should undergo active or passive exercises as per convenience of patient.
Bed pan is good for him until and unless he is diagnosed for cause of his low bp and
fainting spells.
Ideally a senior physiotherapist should be consulted but so far as I know he should use his biceps. And arm muscles. By pumping a tennis ball. Light weight exercises for his upper limbs for 15 minutes thrice a day at minimum.
His
tiredness needs to be evaluated for any excess or deficiency of vitamins, minerals,
thyroid or any blood count levels.
The recovery of bone and
cartilage in chest cage takes almost 1 to 1.5 months to recover.he need to wear a belt post operatively.
Cause of low BP needs to be worked upon. I need list of medications which he is taking during his BP fluctuations,
Ideal weight for his body according to BMI needs to be calculated.
He should take enough healthy diet low in oil and ghee diet to maintain his weight at a fix. .
I understand that it’s a hard time for family, but your active coordination will help your patient and will be rewarded in a 2 to 3 months time.
Hope I have answered your query. Let me know if I can assist you further.
Take Care
Regards.
Dr. FAISAL BACHA, MEDICAL SPECIALIST (FCPS INTERNAL MEDICINE)