What does PACU stand for?
Post-anesthesia care unit
If a client responds to gradual stimuli after surgery, slowly put them in this position
Semi - Fowlers
Assess pain level frequently using this
Standardized pain scale
Can be worn by the patient to prevent deep vein thrombosis...
SCDs
Urine output should be at least _____/hr before discharging after surgery.
30 mL/hr
Post – operative vitals should be taken every...
15 minutes
Maintain this position if the patient is unconscious or unresponsive to reduce risk of aspiration
Left or right lateral recovery position
Adverse effects of opioids include
Respiratory depression, urinary retention, constipation, and nausea
This is prevented by early ambulation and leg exercises.
Deep Vein Thrombosis
What are the steps for SBAR reporting?
Situation, background assessment, recommendation
An acute confusion state during recovery from anesthesia is called?
Emergency delirium
Do not put these under a patient's knees because it decreases venous return
Pillows
In the event of a overmedication with pain medication, administer this opiate antagonist
Naloxone
Cardinal signs of DVT?
Redness, warmth, edema, and pain
A mechanical device that helps prevent respiratory complications.
Incentive spirometer
The nurse working on a surgical floor is preparing to receive a postoperative patient from the post anesthesia care unit (PACU). What would the nurse's initial action be upon the patient's arrival?
Get vital signs
How often should you reposition a patient
Every 2 hours
A type of medication delivery device where the patient pushes a button to deliver medication
PCA (patient controlled analgesia) pump
Heparin is an anticoagulant used for the treatment of DVT. What lab should you monitor while a patient is taking heparin?
aPTT
This sound indicates static pulmonary secretions that need to be mobilized by cough and deep breathing...
Crackles
What is included in the routine assessment of the patient's cardiovascular function on admission to the PACU?
ECG monitoring
The patient sits up in a Fowlers position and inhales through nose and mouth. What is this called?
Deep breathing exercises
Very fine plastic catheter placed through the skin into the spinal canal
Epidural Catheter
DVT is when a thrombus forms in a deep vein. State another name for thrombus.
Blood clot
Most important post – operative assessment.
Airway, breathing, and circulation (ABCs)