Post-op Flashcards
Atelectasis
a complete or partial collapse of the entire lung or area (lobe) of the lung
Thoracic Surgical Major causes of perioperative morbidity
respiratory complications
- Include atelectasis, pneumonia, respiratory failure
Myocardial ischemia
occurs when blood flow to your heart is reduced, preventing the heart muscle from receiving enough oxygen
heart attack
Thoracic Surgical 2nd caused of perioperative morbidity
Cardiac complications
- Include arrhythmias and ischemia
- Temporary external pacemaker common
Thoracic Surgical Associated Pain seen where
Pain around the surgical site, neck or ipsilateral shoulder
Mild and transient,to severe and chronic in nature (months to years)
Thoracic Surgical Associated Pain may be due to
- referred pain from diaphragmatic irritation
- Chest tube placement
- Surgical positioning
- Intercostal nerve damage
- Non-functioning or malfunctioning lock
thoracic Surgical Associated Pain addressed
Addressed via prophylactic management with local analgesics or systemic narcotics
Arterial lines usually present due to what
due to incidence of transient severe hypotension
Central venous pressure (CVP) monitoring is present when
routine procedure for thoracic surgery
ECMO for pt provides
Provides both cardiac and respiratory support to patients with inadequate gas exchange to sustain life
Indicated for patients with heart and lung failure
ECMO function
Removes carbon dioxide from blood and returns oxygenated blood
External Pacemaker after Surgery (Epicardial Pacing Wires)
temporary
Allows for rapid correction of arhy
Drain Tubes allow for what
Tube and collection system permit amount of drainage and intrathoracic blood loss to be monitored
what are Drain tubes draining
Drain pleural or mediastinal fluid and air
Can a pt ambulate with a chest tube
yes
wall suction and chest tube
Do not disconnect from wall suction unless there be
written orders to do so from the MD
where should the chest tube box be kept
below the heart
tip the chest tube drainage
do not tip the chest tube drainage > call nursing
Precautions with chest tube
On the side of chest tube avoid end range should
ROM and bed mobility
hypoxic respiratory failure
when you do not have enough oxygen in your blood
Nitric Oxide Delivery System used in what situations
Used in open heart surgery, transplant, LVAD etc. when patients are in critical condition
Nitric Oxide Delivery System - oxygenation
Improves oxygenation
NO delivery system - pulm
reduces pulmonary HTN
- Decreased pulmonary artery pressure and pulmonary vascular resistance
NO delivery system treats what
Treats hypoxic respiratory failure
role of the PT ost-Operative Considerations
- Reducing risk for pulmonary infection
- chest wall and lower extremity soreness (incisional)
- Surgical precautions
- Precautions related to incision, lines/tubes/drains, and vital restrictions
- Reducing risk for infection to incisions
- Reducing risk of deconditioning from immobility
