Post op Complications

Question 1

Definition of Post Op complications

Answer 1

Unwanted & inappropriate (Untoward) conditions occurring within 30 days of operation or after 30days provided it is directly related to the operati

Question 2

Groups of Post Op Complications

Answer 2

After First Few Hours
After 24 hours
Late Complications

Question 3

What are the Handicaps which may complicate recovery post operatively?

Answer 3

Pathology for which operation was carried out for
Effects of Surgery eg Blood Loss
Anaesthesia

Question 4

What instructions/ information are given to the Nurse at the ward post operatively

Answer 4

Operation done
Blood pressure and heart rate
Position to be nursed in
Fluid given during the operation and to be given in next 24 hours
Frequency of observations
Control of airway breathing by supporting chin

Question 5

What are the signs of bleeding or shock

Answer 5

Tachycardia
Hypotension
Pallor

Question 6

What is a sign / suggestive of circulatory overload

Answer 6

Distended jugular veins
Raised CVP

Question 7

How frequently should BP and Heart Rate be measured and charted

Answer 7

Quarter hourly till stable then hourly.

Question 8

What are the Principles of Post Operative Care

Answer 8

History
Physical Examination
Assessment of Pathology specific to patient
Uniqueness of Patient Taken into consideration
Counseling of Patient
Preop Workup for Surgery
Intraop Monitoring
Writing of Monitoring order
Transfer of patient to ward in trolley having side rails
Vital Sings Monitoring, Daiky Assessment SOAP

Question 9

What are the types of Haemorrhage Post Op

Answer 9

Reactionary( within first 24 hours)
Secondary (after 7 days)

Question 10

What is Defibrination Syndrome

Answer 10

Amniotic fluid and fragments of prostate, lung, brain, thyroid or infarcted placenta on entering the circulation activate plasminogen to plasmin which lyses any clots formed; and inhigher concentration also destroys the fibrinogen and factorVTII in the blood making it in coagulable