Post Op complications Flashcards
? can be from fluid or blood loss
hypovolemic shock
Most common shock in the PACU
hypovolemic shock
What is hypovolemic shock?
low volume shock
S/S pallor, cool/moist skin, tachypnea, tachycardia, restlessness, decrease LOC
hypovolemic shock
hypovolemic shock nursing interventions
volume replacement oxygen frequent vitals and LOC checks position with patient lying flat w legs elevated on pillow trendelenburg
S/S blurred vision seeing spots, ringing int he ears, decrease hemoglobin and urine output, may experienced decreased temp
hemorrhage
As a nurse, it is important to check dressings, ? may pool under dressings.
blood
Interventions for hemorrhage
monitor and frequent vitals, if bleeding continues apply pressure and call dr because will need to go back to surgery
Incomplete expansion or collapse of alveoli w retained mucus involving a portion of lung and resulting in poor gas exchange
atelectasis
Causes of atelectasis
prolonged anesthesia, history of smoking, abdominal distension, obesity, retained secretions, ineffective coughing, laying on the back, dehydration
S/S dyspnea, decrease in lung sounds over affected area, cyanosis, restlessness, bloody sputum
atelectasis
atelectasis interventions
semi-fowler’s, pulse ox, deep breathing exercises, incentive spirometer, turn pt every 2 hrs.
If interventions not done, can lead to ?
pneumonia
The partial or total separation of wound layers as the result of excessive stress on wound layers as a result of excessive stress on wound layers that are not properly healed. Serious post op complication!
Dehiscence
The most serious complication of dehiscence. The wound completely separates with protrusion of viscera through incisional area
Evisceration
