PACU/Post Op Resp Complications

Question 1

emergency condition where severe blood loss or fluid loss makes heart unable to pump blood to body

Answer 1

Hypovolemic shock

Question 2

Dehydration cannot cause hypovolemic shock. T or F

Answer 2

False- severe fluid loss is a cause of hypovolemic shock

Question 3

Incisional bleeding can pool UNDERNEATH a patient. T or F

Answer 3

True

Question 4

most common type of shock in the postoperative setting; what is this shock associated with?

Answer 4

Hypovolemic shock;
associated w/ hemorrhage from the surgical site

Question 5

Classic S &S of hypovolemic shock are

Answer 5

pallor
cool, moist skin;
Rapid breathing;
Cyanosis of the lips, gums, and tongue;
Rapid, weak, thready pulse;
Low blood pressure;
Decreased output, concentrated urine

Question 6

When can shock occur post op?

Answer 6

Shock can occur immediately after sx or several days post sx

Question 7

Early syx of shock include

Answer 7

feelings of apprehension
labored breathing
air hunger/ severe breathlessness

Question 8

hemorrhage that occurs at time of surgery

Answer 8

Primary hemorrhage

Question 9

occurs first few hrs after surgery when change in BP returns to normal

Answer 9

Intermediary hemorrhage

Question 10

occurs some time after surgery when a suture slips, becomes infected or eroded by drainage tube

Answer 10

secondary hemorrhage

Question 11

serious condition that occurs when blood accumulates in the space behind the abdominal cavity

Answer 11

retroperitoneal bleed

Question 12

Bleeding from what vessel is characterized by slow, general ooze?

Answer 12

Capillary

Question 13

bleeding from what vessel is characterized Darkly colored blood that flows quickly.

Answer 13

Venous

Question 14

bleeding from what vessel is characterized by Blood that is bright red and appears in spurts with each heartbeat.

Answer 14

Arterial

Question 15

S&S of hemorrhaging

Answer 15

Low Hemoglobin and Hematocrit
Elevated Heart Rate
Rapid, thready pulse
Hypotension
Air Hunger
Disoriented/Restless
Palor
Cold
Tinnitus
Oliguria

Question 16

Position pt should be placed in when experiencing shock

Answer 16

Modified Trendelenburg
Flat in bed w/ legs elevated

Question 17

What is considered low urine output?

Answer 17

Less than 30 cc’s/ an hr

Question 18

Syx of anesthesia

Answer 18

N&V
Nausea and vomitting

Question 19

Interventions for N&V syx

Answer 19

Pt should be turned on their side
Head should be elevated to prevent aspiration

Question 20

Risk associated w/ post of N&V

Answer 20

Aspiration
Possible wound dehiscence due to abdominal pressure
Elevated BP and HR
MI
cardiac arrhythmia
Dehydration/electrolyte imbalances

Question 21

If all 4 side rails are up, that is considered a restraint. T or F

Answer 21

True

Question 22

surgical complication where the surgical incision opens and the abdominal organs then protrude or come out of the incision

Answer 22

evisceration

Question 23

Post Op Risks/ Complications

Answer 23

Atelectasis
PNA
DVT
Pulmonary Embolism/ Infection
Hemorrhage
Wound Dehiscence or Evisceration
Paralytic ileus

Question 24

opening of surgical incision

Answer 24

dehiscence

Question 25

Bariatric Pts have increased risk for

Answer 25

DVT
Pulmonary Embolism
Sleep Apnea
Increased Mortality in abdominal sx