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Chapter 5
| Question | Answer |
|---|---|
| What post operative complications is someone with immobility at risk for? | -Respiratory compromise - Thrombophlebitis - Pressure injury |
| What post operative complications is someone with anemia at risk for? | - blood loss - inadequate/decreased oxygenation -impaired healing factors |
| What post operative complications is someone with hypovolemia at risk for? | - increased risk for infection - altered absorption of medication - coagulopathy - cardiac dysrhythmia |
| What post operative complications is someone with respiratory disease at risk for? | Respiratory compromise |
| What post operative complications is someone with cardiovascular disease at risk for? | -fluid overload -deep-vein thrombosis -cardiac dysrhythmia |
| What post operative complications is someone with an immune disorder at risk for? | -Risk for infection from immunosuppression -risk for delayed healing |
| What post operative complications is someone with diabetes mellitus at risk for? | - gastroparesis - delayed wound healing - increased risk for infection - impaired circulation - hyperglycemia |
| gastroparesis | delayed gastric emptying |
| What post operative complications is someone with coagulation defect at risk for? | Increased risk of bleeding |
| What post operative complications is someone with a BMI greater than 30 ast risk for? | -respiratory compromise from hypoventilation - postoperative nausea and vomiting - wound healing dehiscence -evisceration |
| What does initial post operative care consist of? | -Obtaining frequent assessment and vital signs - administering medication - managing pain - preventing complications - determining discharge from PACU |
| Post operative clients who use general anesthesia require what? | Frequent assessments of their respiratory status |
| Post operative clients who receive epidural or spinal anesthesia require what? | Ongoing assessment of motor and sensory function |
| Where is anesthesia stored? | In the fat |
| Which patients may have difficulty waking up from anesthesia? | -Obese patients -Elderly patients -Individuals with kidney dysfunction |
| Why is it normal to have a slightly elevated body temperature up to 99.8 following surgery? | Body's immune response from invasion. |
| What blood pressure is considered unstable? | Below 90/60 mm/Hg |
| Post operatively what gauge IV needle commonly used? | 18-20 gauge |
| Aldrete Scoring System | Criteria discharged from PACU |
| What does the Aldrete scoring system score individuals off of? | -Activity -Respiration -Circulation -Consciousness -Oxygen Saturation |
| Paralytic Ileus | Bowels are frozen and not waking up |
| Sequential Compression Devices | inflatable sleeves placed around the legs that periodically inflate and deflate to improve blood flow, prevent blood clots (deep-vein thrombosis), and reduce venous stasis in immobile patients |
| What interventions can you take to prevent spinal headache? | Keep the patient flat for 6-8 house Give the patient caffiene |
| Why does caffeine help with spinal headache? | Causes vasoconstriction reducing the amount of pressure in the brain |
| What interventions can you take to assist with flatus post op? | -Ambulation -Slight Trendelenburg - Chewing gum -Abdominal massage |
| What does protein do for wound healing? | Provides building blocks for tissue repair |
| What does Vitamin C do for wound healing? | Collagen production and increased immune function and capillary formation |
| What mineral assist with wound healing? | - Vitamin C - Zinc - Copper - Iron |
| How does smoking delay wound healing? | Causes vasoconstriction reducing blood perfusion |
| How does cortico-steriods wound healing? | Immunosuppression |
| What are the signs of an infection? | -Excessive swelling -Hematoma -Seroma -Redness -Signs of separation -Fever -Tenderness |
| Post operatively what gauge IV needle commonly used? | 18-20 gauge |
| Aldrete Scoring System | Criteria discharged from PACU |
| What does the Aldrete scoring system score individuals off of? | -Activity -Respiration -Circulation -Consciousness -Oxygen Saturation |
| Paralytic Ileus | Bowels are frozen and not waking up |
| Sequential Compression Devices | inflatable sleeves placed around the legs that periodically inflate and deflate to improve blood flow, prevent blood clots (deep-vein thrombosis), and reduce venous stasis in immobile patients |
| What interventions can you take to prevent spinal headache? | Keep the patient flat for 6-8 house Give the patient caffiene |
| Why does caffeine help with spinal headache? | Causes vasoconstriction reducing the amount of pressure in the brain |
| What interventions can you take to assist with flatus post op? | -Ambulation -Slight Trendelenburg - Chewing gum -Abdominal massage |
| What does protein do for wound healing? | Provides building blocks for tissue repair |
| What does Vitamin C do for wound healing? | Collagen production and increased immune function and capillary formation |
| What mineral assist with wound healing? | - Vitamin C - Zinc - Copper - Iron |
| How does smoking delay wound healing? | Causes vasoconstriction reducing blood perfusion |
| How does cortico-steriods wound healing? | Immunosuppression |
| What are the signs of an infection? | -Excessive swelling -Hematoma -Seroma -Redness -Signs of separation -Fever -Tenderness |
| Who removed the first dressing? | The surgeon |
| What causes pneumonia post op? | Secretions are stagnant in the base of the lungs and begin developing bacteria |
| How long does it take for a post op infection to start presenting? | 2-7 Days |
Created by:
kyebula