POST OP

Question 1

What are the priority assessment?

Answer 1

ABCs which includes airway and respiration.

Question 2

What complications should be monitored in the respiratory function?

Answer 2

Atelectasis and hypoxia

Question 2

What does General Anesthesia cause?

Answer 2

Respiratory Depression

Question 2

Early and late sign of hypoxia?

Answer 2

Restlessness (Early), Cyanosis (Late)

Question 2

What is the important respiratory parameters?

Answer 2

Level of consciousness

Question 2

What does noisy breathing indicate?

Answer 2

Obstructed airway

Question 3

What are 2 most common cause of rapid hazards?

Answer 3

Hypoxia and shock

Question 4

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

Answer 4

Semi-fowler’s at 15-30 degrees.

Question 5

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

Answer 5

Flat on the bed

Question 6

What to do when the patient vomits and why?

Answer 6

Turn to the side, prevent aspiration

Question 7

Purposes of Oropharyngeal Airway?

Answer 7

Keep tongue from blocking the airway and make suctioning easier.

Question 8

When do you remove the oropharyngeal airway?

Answer 8

Until the presence of gag reflex

Question 9

Within how many hours should the patient be ambulated?

Answer 9

24 hours

Question 9

Ways to prevent atelectasis?

Answer 9

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

Question 9

Symptoms of Atelectasis?

Answer 9

Cough, sputum production, and low-grade fever

Question 10

Strategies for secretion removals

Answer 10

Coughing, suctioning, aerosol therapy, and Chest physiotherapy

Question 10

Treatments for atelectasis?

Answer 10

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

Question 11

Examples of vascular complication

Answer 11

DVT and pulmonary embolism

Question 11

Signs of Shock

Answer 11

Low BP, high PR and RR, narrow pulse pressure

Question 12

Classification of shock - Due to loss of blood or burns

Answer 12

Hypovolemic

Question 13

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

Answer 13

Cardiogenic

Question 14

Classification of shock - due to infection

Answer 14

Septic

Question 15

Classification of shock - due to anesthesia or pain

Answer 15

Neurogenic

Question 16

Classification of shock - due to allergies

Answer 16

Anaphylactic

Question 17

How much reduction in volume for hypovolemic shock?

Answer 17

15-30% or 750-1000mL

Question 17

Indicator of hypovolemic shock?

Answer 17

Skin - pallor, cool, moist
Pulse - rapid, weak, thready
Low BP and Pulse pressure
Concentrated Urine

Question 18

Crystalloids component

Answer 18

0.9 saline
Lactated ringer’s
hypertonic solution (3% saline)

Question 19

What is the best position for hypovolemic shock?

Answer 19

Modified Trendelenburg

Question 20

Types of fluids - below 250 mEq/L

Answer 20

Hypotonic

Question 20

Management for shock?

Answer 20

Fluid replacement, vasoactive meds, and nutritional support

Question 21

Types of fluids - above 375 mEq/L

Answer 21

Hypertonic

Question 22

Types of fluids - same osmolality as blood (310 mEq/L)

Answer 22

Isotonic

Question 22

Colloid components?

Answer 22

Plasma expanders
Albumin
Dextran

Question 23

Separation of wound edges due to increase in pressure from coughing

Answer 23

Wound Dehiscence

Question 24

When the viscera protrudes out the incision.

Answer 24

Wound evisceration

Question 25

Collapse or airless condition of the alveoli

Answer 25

Atelectasis