Postoperative Carlos Flashcards
What are some treatments in hypotension?
1 O2 therapy
2 Give IV fluids
3 Inspect Surgical Incision
4 Drug Intervention
What are some treatments for hypertension?
1 Eliminate cause of SNS stimulation (Analgesics, voiding and respi problems)
2 Corrects hypothermia induced hypertension
3 With preexisting HPN, vascular surgery needs drug therapy
What are some treatmenst of dysrrhythmias?
1 Removing the cause
2 Prepare for ACLS
What are examples of neurologic problems?
1 Emergence Delirium
2 Delayed Emergence
3 Delirium
What are some nursing assessment for delirium?
1 Assess LOC, orientation, memory, and ability to follow commands
2 Assess sleep/wake cycle
3 Determine the possible cause if altered neurologic status
What happens when there is pain and discomfort?
1 Trauma for surgery 2 Reflex muscle spasm 3 Anxiety and fear 4 Positioning 5 Internal devices
What are the cause of hypothermia that lasts up to 12 hrs?
1 Effects of anesthesia
2 Body heat loss during surgical procedure
First 48 hs (Mild)
1 Inflammatory to surgical stress
2 Moderate elevation of temp
3 Long congestion
4 Dehydration
After 48 hrs mild elevation
1 Infection 2 Core body temp less than 36 degrees 3 Heat loss occurs due to skin exposure 4 Systolic BP less than 140 mmHg 5 Long surgical procedures
What are some complications of temperature changes?
1 Vasoconstriction resuting to HPN 2 Compromised immune infection 3 Bleeding 4 Shivering 5 Increased pain
What are some complications of fever?
1 Surgical site infections 2 Respiratory tract infection 3 UTI 4 Septicemia 5 Malignant hyperthermia
What are the nursing implementations of fever?
1 Passive warming measures (socks and reflective blankets)`
2 Active warming measures (forced air warmers, warmed IV fluids)
What are some complications in the GI?
1 PONV (Post-Op N and V)
2 Intermittent hiccups
3 Gastrci distenstion
What are some complications in the urinary system?
1 Lower urine output for the first 24 hrs after syrgery
2 Acute urinary retention
Nursing management for urinary problems
Anticholinergic and opoid drugs
Nursing assessment for urinary problems
1 Urine output should be 0.5 ml/k/hr (30 cc/hr)
1 Patienst should void within 6-8 hrs after surgery
What is the most important thing to do when a patient has urinary problems?
Order to catheterize in 6-8 hrs if no void
What is the major concern of the integumentary system?
Wound healing
What are the sources of SSIS?
1 Exogenous flora present in the environment and skin
2 Oral flora
3 Intenstinal flora
When does SSIS oocur?
During the 3rd to 5th post op
Types of surgical wounds
1 Dehiscence
2 Evisceration
Important nursing intervention for Dehiscence and Evisceration?
Notify physician immediately
What are some nursing responsibilities in patients discharged from the PACU?
1 Standardized scoring systems used to determine general condition and readiness for dischrage form PACU
2 Take care to protect IV lines, drains, and traction devices
What are some things to in performing care of patients admitted to the clinical unit?
1 Record time return to unit, assess ABC 2 Assess level of pain 3 Assess wound dressing, and drainage tubes 4 Check IV infusion 5 Assess urinary status
During ambulatory and surgery discharge the patent should be/have?
1 Stable, mobile, alert and able to provide degree of self care
2 Accompanied by adult at the time of d/c
3 Access to pharmacy
4 Access to Phone
5 Access to follow up care
What are some things to do after discharge and folloe-up?
1 Preparation for the discharge ongoing process beginsg before surgery
2 Inlude the caregiver in the discharge planning
3 Provide info and support informed decisions
4 Record the discharge teaching in the cahrt
5 Px should be transferred to the:
Terminal care facilities
Long term care facilities
Directly tto their homes
What are some gerontologic considerations?
1 Decreased respi fuction 2 Cardio status needds to be monitored 3 Renal perfusion normally decreases 4 Assess renal and liver fuction 5 Cardiac functions is often and compromised
