POST OP Flashcards

1
Q

What are the priority assessment?

A

ABCs which includes airway and respiration.

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

What complications should be monitored in the respiratory function?

A

Atelectasis and hypoxia

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

What does General Anesthesia cause?

A

Respiratory Depression

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

Early and late sign of hypoxia?

A

Restlessness (Early), Cyanosis (Late)

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

What is the important respiratory parameters?

A

Level of consciousness

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

What does noisy breathing indicate?

A

Obstructed airway

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

What are 2 most common cause of rapid hazards?

A

Hypoxia and shock

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

In maintaining airway, what position should you place the patient and the angle?

A

Semi-fowler’s at 15-30 degrees.

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

If the patient went spinal anesthesia, what is the position to maintain airway?

A

Flat on the bed

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

What to do when the patient vomits and why?

A

Turn to the side, prevent aspiration

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

Purposes of Oropharyngeal Airway?

A

Keep tongue from blocking the airway and make suctioning easier.

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

When do you remove the oropharyngeal airway?

A

Until the presence of gag reflex

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

Within how many hours should the patient be ambulated?

A

24 hours

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

Ways to prevent atelectasis?

A

Frequent turning, early mobilization, breathing exercises and incentive spirometer, Removal of secretions.

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

Symptoms of Atelectasis?

A

Cough, sputum production, and low-grade fever

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

Strategies for secretion removals

A

Coughing, suctioning, aerosol therapy, and Chest physiotherapy

10
Q

Treatments for atelectasis?

A

Positive end-expiratory pressure (PEEP), Intermittent positive-pressure breathing (IPPB), Bronchoscopy

11
Q

Examples of vascular complication

A

DVT and pulmonary embolism

11
Q

Signs of Shock

A

Low BP, high PR and RR, narrow pulse pressure

12
Q

Classification of shock - Due to loss of blood or burns

A

Hypovolemic

13
Q

Classification of shock - decreased cardiac output (MI) or cardiac failure

A

Cardiogenic

14
Q

Classification of shock - due to infection

15
Q

Classification of shock - due to anesthesia or pain

A

Neurogenic

16
Q

Classification of shock - due to allergies

A

Anaphylactic

17
How much reduction in volume for hypovolemic shock?
15-30% or 750-1000mL
17
Indicator of hypovolemic shock?
Skin - pallor, cool, moist Pulse - rapid, weak, thready Low BP and Pulse pressure Concentrated Urine
18
Crystalloids component
0.9 saline Lactated ringer's hypertonic solution (3% saline)
19
What is the best position for hypovolemic shock?
Modified Trendelenburg
20
Types of fluids - below 250 mEq/L
Hypotonic
20
Management for shock?
Fluid replacement, vasoactive meds, and nutritional support
21
Types of fluids - above 375 mEq/L
Hypertonic
22
Types of fluids - same osmolality as blood (310 mEq/L)
Isotonic
22
Colloid components?
Plasma expanders Albumin Dextran
23
Separation of wound edges due to increase in pressure from coughing
Wound Dehiscence
24
When the viscera protrudes out the incision.
Wound evisceration
25
Collapse or airless condition of the alveoli
Atelectasis