Post-Operative Patient Management Flashcards
When doing surgical consent form, what should you mention? (8)
Bleeding bruising swelling pain dry socket Trismus diet OHI
Post-op Bleeding
What do you need to tell them about gauze?
-how long?
Moistened and directly on the sockets for the first HOUR
[new ones should be moist as well]
Cautions related to bleeding (4)
- No smoking 12 hrs
- No straws
- Rinse/spitting
- No exercise for 12 hrs
Tell the patient to call IF (3)
- LONG term bleeding
- Bright red bleeding
- Large Liver clots
Secondary to gauze placement (what else can be used besides gauze to help with bleeding?)
Tannic acid from teabags (also moisten)
Bruising information to tell patient
Simply mention it to decrease anxiety if it happens.
Swelling is worst during (time period)
2-3 days (up to week for old people)
Continued or exacerbated swelling past day three may indicate
infection
What can be used to reduce swelling?
ice packs (on 20 off 20 for first 24hrs) Heat AFTER 3rd day!
What extractions cause more trismus?
Mandibular molars (3rds)
Diet concerns
-Eat soft foods for first day
Oral hygiene instructions (3)
DONT use tpaste for the first day. After 1st day: -salt water rinse OR -Chlorhexidine rinse
Peak Pain occurs when?
12 hours after surgery
Pain lasts about how long?
2days
What NSAID should be prescribed?
Ibuprofen (600 mg/dose)
