Post Op #1 Flashcards
how long does post op last
begins immediately after surgery until pt is discharged
nursing roles in post op
-support ventilation and perfusion
-maintain fluid and electrolyte balance
-promote comfort and safety
-reduce infection
-immediate recovery in post anesthesia unit (PACU)
initial assessments does after hand off report from anestheia team
A - patency and presence of airway, ventilation settings
B - respiratory rate and quality of sounds, pulse ox, supplemental O2
C - BP, ECG monitoring for rate and rhythm, pulses, cap refill, temp, color
initial post op neuro assessment
LOC, orientation, pupil size/reaction, motor and sensory status
initial post op GI assessment
n/v, I&O, bowel sounds
*NO INTAKE UNTIL ORIENTED
initial post op safety assessment
fall risk and precautions
initial post op surgical site assessment
dressings, drains, and IV access
what should the nurse do with the initial dressing change
leave it alone because the surgeon should do the first change to see the wound
controlling pain post op
analgesics, nonpharm analgesics, pt controlled analgesic
use pain scale
what to monitor with pt controlled anagesia
O2 stats
