Perioperative Respiratory Management Lecture Powerpoint

Question 1

Pulmonary complications are responsible for up to 25% of deaths within 6 days of ____

Answer 1

surgery

Question 2

Preop pulmonary function tests

Answer 2

Indicated only in patients with high risk for complication, allows for prophylactic treatment to decrease complication risk

Question 3

5 elements of preop regimen

Answer 3

• Stopping smoking 4-8 weeks before surgery
• Dilate airways (B2 agonsits, ipratropirum bromide, inhaled steroids)
• Loosen secretions (airway humidifcation, mucolytic and expectorant drugs, chest physiotherapy)
• Adjunct medication (antibiotics or antacids)
• increase education, motivation, and facilitation of post op care

Question 4

Nicotine use effects on surgical patients (2)

Answer 4

• Nicotine induced tachycardia

- vascoconstriction resulting in impaired wound healing

Question 5

Incentive spirometer

Answer 5

Device with tube that placed in mouth and sucked in helps expand lungs and open airways and alveoli to prevent atelectasis and pneumonia often in post op patients

Question 6

Atelectasis sequalae

Answer 6

-Pneumonia

Question 7

Appropriate post op pain management in thoracic surgeries which tend to be very painful and result in patients decreasing their deep breathing (3)

Answer 7

• thoracic epidural
• intrapleural caths
• rib blocks