Post Anaesthetic Care Flashcards

1
Q

What is the purpose of post-anaesthetic care?

A

To observe and monitor post-operative patients until it is safe to discharge them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where is post-anaesthetic care typically provided?

A

In the Recovery Room (RR) or Post-Anaesthetic Care Unit (PACU).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why is a dedicated quiet area important in post-anaesthetic care?

A

To ensure a safe and quiet environment for patient recovery post-surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is post-anaesthetic care important?

A

To monitor residual anaesthetic effects and manage complications promptly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What residual effects may patients have after anaesthesia?

A

Residual effects of anaesthetic drugs that need monitoring.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who staffs the Post-Anaesthetic Care Unit (PACU)?

A

Specially trained nurses and an anaesthetist for potential complications.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the recommended nurse-to-patient ratio in PACU?

A

1:1 nurse-to-patient ratio.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why must a nurse remain with the patient until full recovery?

A

To ensure immediate response to any complications.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name three essential pieces of equipment in PACU.

A

Beds/trolleys, oxygen delivery devices, and suction apparatus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are two early post-anaesthetic complications?

A

Respiratory insufficiency, nausea and vomiting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name two causes of respiratory insufficiency post-anaesthesia.

A

Airway obstruction, inadequate neuromuscular reversal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can airway obstruction cause respiratory insufficiency?

A

Tongue falling back, secretions, or laryngeal spasm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the signs of CO2 retention in respiratory insufficiency?

A

Tachypnoea, bradypnoea, sweating, bounding pulse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is opioid respiratory depression treated in PACU?

A

Administer an opioid antagonist like Naloxone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is laryngospasm, and when does it commonly occur?

A

Reflex closure of vocal cords, commonly seen in children.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List two causes of laryngospasm.

A

Blood in the airway, URTI, asthma.

17
Q

What is the first step in managing laryngospasm?

A

Call the anaesthetist and deliver 100% oxygen.

18
Q

What factors contribute to post-operative nausea and vomiting (PONV)?

A

Type of surgery, anaesthetic agents, female patients with a history of PONV.

19
Q

What are two potential effects of PONV?

A

Dehydration, hypovolaemia, electrolyte derangement.

20
Q

How is post-operative hypotension defined?

A

BP reduction of >20% below baseline.

21
Q

List two common causes of post-operative hypotension.

A

Surgical blood loss, inadequate volume replacement.

22
Q

How is post-operative hypertension commonly treated?

A

Based on the cause; could involve antihypertensives like Esmolol or Apresoline.

23
Q

What causes shivering in post-anaesthetic patients?

A

Due to a fall in skin temperature without a drop in core temperature.

24
Q

What adverse effects can shivering have on patients?

A

Increases oxygen consumption, heart rate, and the risk of post-op MI.

25
Q

How can shivering be treated in the recovery room?

A

Oxygen supplementation, warming blankets, heated fluids.

26
Q

What measures can prevent shivering in the operating room?

A

Keep OR warm, cover patients adequately, use warmed prepping solutions.