Post op #3

Question 1

define hypothermia

Answer 1

core body temp <36 degress Celcius

Question 2

surgical causes of hypothermia

Answer 2

skin exposure, cold irrigations, skin prep, long surgical procedures

Question 3

systemic body respose to hypothermia

Answer 3

vasoconstriction

Question 4

when should shivering stop

Answer 4

20minutes out of OR

Question 5

normal fever after operation

Answer 5

body temp </= 38 degress celcius (100.4 F)

Question 6

how often should temp be assessed post op

Answer 6

hourly if normothermic, every 15 minutes if hypothermic until normothermic

Question 7

how to passively warm a pt

Answer 7

warmed blankets, socks, prevent skin exposure

Question 8

how to actively warm a pt

Answer 8

external warming devices, forced air warmers, warm IV fluids, headted and humidified O2 therapy

Question 9

how to prevent infection post op

Answer 9

-asepsis with IV and wound care
-coughing and deep breathing
-incentive spirometer

Question 10

sign of surgical site infections

Answer 10

redness, warmth, edema, drainage

Question 11

nursing interventions for surgical site infections

Answer 11

-understanding type of surgery and expect drainage
-assess site q15min
-record drainage type, amount, color and odor

Question 12

sanguineous secretion

Answer 12

bright red, indicates active bleeding

Question 13

serosanguinous secretion

Answer 13

thin and water with light pink/red hue

Question 14

serous secretion

Answer 14

clear, thin and watery

Question 15

what to inspect when changing dressings

Answer 15

incision, peri wound, any drains present