perio 5b

Question 1

Post-Op Nausea & Vomiting
(PONV)
Symptoms
- Pale clammy skin
- Tachycardia
- Distressed/restless
- May be in pain
- Retching/vomiting
- Hypotensive

Answer 1

• Pale clammy skin
• Tachycardia
• Distressed/restless
• May be in pain
• Retching/vomiting
• Hypotensive

Question 2

Post-Op Nausea & Vomiting
(PONV)
 Management

Answer 2

 Emesis bowl/bag
 Cool, damp cloth
 Reduce stimuli (Dark, quiet environment)
 Change position
 Treat underlying cause…pain, hypotension
 Distraction and reassurance
 Medication/Antiemetics
 Unresolved PONV requires medical review to assess for other
causes/treatments

Question 3

A primary function of PACU nurse is

Answer 3

to correctly
assess and treat postoperative pain

Question 4

A primary function of PACU nurse is

Answer 4

to correctly
assess and treat postoperative pain

Question 5

Pain is a

Answer 5

subjective process
Formulate objective plan for pain control
(pain assessment tools)
- Acute vs. chronic
- Evaluate → Treat → Re-evaluat

Question 6

must be aware if in assessing pain

Answer 6

Must be aware of potential personal bias when
assessing for pain level

Question 7

Pain Management
Symptoms - Physiology

Answer 7

• Pallor
• Tachycardia
• Tachypnoea
• Dilated Pupils
• Hypertension
• Sweating
• Increased muscle tension

Question 8

Pain Management
Symptoms - Behavioural

Answer 8

• Patient verbalisations
• Excitement/Irritability
• Anger/Hostility
• Depression/Unusual quietness/Withdrawal
• Rigidity/Immobility
• Rocking
• Rubbing painful part
• Clenched teeth/Tightly shut lips
• Widely open eyes

Question 9

Pain Management
Symptoms - Behavioural

Answer 9

• Patient verbalisations
• Excitement/Irritability
• Anger/Hostility
• Depression/Unusual quietness/Withdrawal
• Rigidity/Immobility
• Rocking
• Rubbing painful part
• Clenched teeth/Tightly shut lips
• Widely open eyes