perio 5 c

Question 1

Pain
Management
Treatment -
Pharmacologica

Answer 1

IV Opioids Gold
standard
(Pain Protocol - Morphine,
Fentanyl, Ketamine)
PCA
NSAIDS
Local Anaesthetic

Question 2

Important to continually
monitor for iv opioids,

Answer 2

airway and respiratory
function when administering IV
Opioids

Question 3

Pain Management
Treatment - Communication

Answer 3

• Communicate openly and clearly with the patient
• Recognise and addresses common fears
• Explain procedures in a clear and understandable
  manner
• Provide a safe environment for patient during the all
  phases of post anaesthetic care
• Reassure the patient in order to relieve patient
  anxiety

Question 4

Other General Complications

Answer 4

Hypothermia - Due to exposure
- Hyperthermia - Febrile, Blood transfusion reaction,
Thyroid crisis Malignant Hypothermia
- High Spinal/Epidural Block - can lead to decrease
cardiac output
- Urinary Retention - i.e. from epidural opioids
- Hypotension - anaesthetic agents, blood/fluid loss
- Can lead to shock
- Hypertension - may be pre-existing, pain

Question 5

Emergence
Delirium

Answer 5

‘dissociated state of
consciousness in which the
child is irritable,
uncompromising,
uncooperative, incoherent,
and inconsolably crying,
moaning, kicking, or
thrashing’.

Question 6

Discharge Criteria

Answer 6

Must make contemporaneous record of PACU
admission and discharge
- Monitor of progress
- Record of care
- Detect complications

Question 7

Discharge criteria table used to assess

Answer 7

readiness for
ward (score)
- Use as a handover tool

Question 8

Discharge criteria table May not include

Answer 8

fluid balance, pain management,
temperature, wound properties, neurovascular
observations

Question 9

Handover to Ward

Answer 9

• Name, DOB, F/M
• Procedure
• Anaesthetic type - events?
• Airway (i.e 98% Room Air)
• Trends and current Vitals
• Medications/pain protocol used in PACU/PCA
• PONV
• Drains, surgical wound
• Post-op orders
• Charted medications (Antibiotics etc)
• Fluids
• EVERYTHING!!