PACU/Post Op Resp Complications Flashcards
emergency condition where severe blood loss or fluid loss makes heart unable to pump blood to body
Hypovolemic shock
Dehydration cannot cause hypovolemic shock. T or F
False- severe fluid loss is a cause of hypovolemic shock
Incisional bleeding can pool UNDERNEATH a patient. T or F
True
most common type of shock in the postoperative setting; what is this shock associated with?
Hypovolemic shock;
associated w/ hemorrhage from the surgical site
Classic S &S of hypovolemic shock are
pallor
cool, moist skin;
Rapid breathing;
Cyanosis of the lips, gums, and tongue;
Rapid, weak, thready pulse;
Low blood pressure;
Decreased output, concentrated urine
When can shock occur post op?
Shock can occur immediately after sx or several days post sx
Early syx of shock include
feelings of apprehension
labored breathing
air hunger/ severe breathlessness
hemorrhage that occurs at time of surgery
Primary hemorrhage
occurs first few hrs after surgery when change in BP returns to normal
Intermediary hemorrhage
occurs some time after surgery when a suture slips, becomes infected or eroded by drainage tube
secondary hemorrhage
serious condition that occurs when blood accumulates in the space behind the abdominal cavity
retroperitoneal bleed
Bleeding from what vessel is characterized by slow, general ooze?
Capillary
bleeding from what vessel is characterized Darkly colored blood that flows quickly.
Venous
bleeding from what vessel is characterized by Blood that is bright red and appears in spurts with each heartbeat.
Arterial
S&S of hemorrhaging
Low Hemoglobin and Hematocrit
Elevated Heart Rate
Rapid, thready pulse
Hypotension
Air Hunger
Disoriented/Restless
Palor
Cold
Tinnitus
Oliguria
Position pt should be placed in when experiencing shock
Modified Trendelenburg
Flat in bed w/ legs elevated
What is considered low urine output?
Less than 30 cc’s/ an hr
Syx of anesthesia
N&V
Nausea and vomitting
Interventions for N&V syx
Pt should be turned on their side
Head should be elevated to prevent aspiration
Risk associated w/ post of N&V
Aspiration
Possible wound dehiscence due to abdominal pressure
Elevated BP and HR
MI
cardiac arrhythmia
Dehydration/electrolyte imbalances
If all 4 side rails are up, that is considered a restraint. T or F
True
surgical complication where the surgical incision opens and the abdominal organs then protrude or come out of the incision
evisceration
Post Op Risks/ Complications
Atelectasis
PNA
DVT
Pulmonary Embolism/ Infection
Hemorrhage
Wound Dehiscence or Evisceration
Paralytic ileus
opening of surgical incision
dehiscence
Bariatric Pts have increased risk for
DVT
Pulmonary Embolism
Sleep Apnea
Increased Mortality in abdominal sx
