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Postoperative Care

Medical-Surgical Nursing

When does the postoperative period begin? Immediately after surgery
What are focuses of nursing care during the postoperative period? Maintaining patient safety and identifying actual and potential patient problems
How often are V/S monitored in Phase 1? Every 5 minutes
How often should you check the dressing over the surgical site in Phase 1? Whenever you do V/S
What is the priority assessment during the postoperative period? Respiratory
When should first look at the surgical site dressing? When the patient arrives from the OR with the person who transported them
What are possible complications from hypoxemia? Atelectasis and pulmonary edema
What position should the patient be in while recovering? Lateral position, preferably on the left side
What position should the patient be in once conscious? Supine
What should you consider if the patient's respirations are 10 or less? Opioid toxicity
How often should you monitor the patient's lungs once they are on the floor? Every hour for the first 24 hours
How is blood pressure normalized usually? With an IV fluid bolus
What are methods of VTE prophylaxis? TED hose, SCDs, moving the legs in bed, early ambulation
What is often done for patients with a history of DVT in preop? They're often given a dose of Lovenox
What adverse effects are associated with reversal agents? Seizures
What is one of the most common causes of confusion postop? Hypoxemia
When do you know a patient's bowel function has returned? When they pass gas
When should you expect infection postop? If the temperature spikes after the first 48 hours
What is a decrease in temperature up to 12 hours after surgery related to? Surgical heat loss
What can an increase in temperature up to 48 hours after surgery be due to? Inflammatory response, atelectasis, or dehydration
True or False: No or low bowel sounds is normal for the first 24 hours after surgery. True
How long should it take the patient to void after the catheter is removed? Up to 8 hours
What should you do if the patient has not voided 8 hours after the catheter was removed? Call the surgeon
True or False: You should document the time the urinary catheter was removed. True
What is a normal urine output postop? 30 mL/hour
What is the general order in which bowel sounds return? Small bowel, stomach, and colon
True or False: Wound healing can occur with high blood sugar. False
How long must a patient wait to be discharged from ambulatory surgery after being given IV opioids? At least 30 minutes
Should you ensure a follow up is scheduled before discharge? Yes
Created by: shrewsburysd