post op pulmonery atelectasis Flashcards
task
551
d/d
-pre-existing(chest infection, immobility DVT)
-Sepsis or some other complication:concealed hemorrhage, bile leak, wound , sx site
-IV cannula site
-sepsis other sites(uti)
-drug reaction : check drug chart
-febrile blood transfusion reaction
IMMEDIATE POST OP FEVER DUE TO INFLMMATORY
-Pulmonery atalectasis: previous lung disease, major abdominal/thorasic sx with poor control of pain.
-wound hematoma
-bile leak
-superficial thrombophlebitis
-DVT
-MI
-allergic drug reaction
-gout attack
hx
ASSESSMENT
-case notes op detais
-nursing records, ward chartds
hx
-is the pt septic
-take hx according to d/d
PEFE
-Vitals, temp
-check caanulae site
-r/s
-abdomen, sx site
-limbs
-ecg, ufr
Ix
-X ray
-fbc, urine culture
mx
-monitor pt with pulse oxymetry
-humidified oxygen with bronchodilator
-chest physio
-early nebulization