Post-op Flashcards

1
Q

Atelectasis

A

a complete or partial collapse of the entire lung or area (lobe) of the lung

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

Thoracic Surgical Major causes of perioperative morbidity

A

respiratory complications

  • Include atelectasis, pneumonia, respiratory failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Myocardial ischemia

A

occurs when blood flow to your heart is reduced, preventing the heart muscle from receiving enough oxygen

heart attack

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

Thoracic Surgical 2nd caused of perioperative morbidity

A

Cardiac complications

  • Include arrhythmias and ischemia
  • Temporary external pacemaker common
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Thoracic Surgical Associated Pain seen where

A

Pain around the surgical site, neck or ipsilateral shoulder

Mild and transient,to severe and chronic in nature (months to years)

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

Thoracic Surgical Associated Pain may be due to

A
  • referred pain from diaphragmatic irritation
  • Chest tube placement
  • Surgical positioning
  • Intercostal nerve damage
  • Non-functioning or malfunctioning lock
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

thoracic​ Surgical Associated Pain addressed

A

Addressed via prophylactic management with local analgesics or systemic narcotics

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

Arterial lines usually present due to what

A

due to incidence of transient severe hypotension

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

Central venous pressure (CVP) monitoring is present when

A

routine procedure for thoracic surgery

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

ECMO for pt provides

A

Provides both cardiac and respiratory support to patients with inadequate gas exchange to sustain life

Indicated for patients with heart and lung failure

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

ECMO function

A

Removes carbon dioxide from blood and returns oxygenated blood

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

External Pacemaker after Surgery (Epicardial Pacing Wires)

A

temporary

Allows for rapid correction of arhy

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

Drain Tubes allow for what

A

Tube and collection system permit amount of drainage and intrathoracic blood loss to be monitored

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

what are Drain tubes draining

A

Drain pleural or mediastinal fluid and air

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

Can a pt ambulate with a chest tube

A

yes

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

wall suction and chest tube

A

Do not disconnect from wall suction unless there be
written orders to do so from the MD

17
Q

where should the chest tube box be kept

A

below the heart

18
Q

tip the chest tube drainage

A

do not tip the chest tube drainage > call nursing

19
Q

Precautions with chest tube

A

On the side of chest tube avoid end range should
ROM and bed mobility

20
Q

hypoxic respiratory failure

A

when you do not have enough oxygen in your blood

21
Q

Nitric Oxide Delivery System used in what situations

A

Used in open heart surgery, transplant, LVAD etc. when patients are in critical condition

22
Q

Nitric Oxide Delivery System - oxygenation

A

Improves oxygenation

23
Q

NO delivery system - pulm

A

reduces pulmonary HTN

  • Decreased pulmonary artery pressure and pulmonary vascular resistance
24
Q

NO delivery system treats what

A

Treats hypoxic respiratory failure

25
Q

role of the PT ost-Operative Considerations

A
  • 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