Vital Signs
How often do we take vital signs in the PACU
q5min for the first 15-30mins then q15 until D/C
Low oxygen levels in the Blood
Hypoxia
Pain
Less than 4 or an acceptable established level by the patient
Dry & intact
What is dressing
Assessed with in 5-45 minutes of giving
What is IV pain Medication
Fast & Regular Heart Rate less than 150
Sinus Tachycardia
Discharge oxygen criteria
>92% on room air or baseline for 30 minutes prior to D/C
+/- 20 from baseline
What is discharge Blood pressure
localized swelling, pain, tenderness, skin discoloration (blue/purple) at the site, firm
What is a Hematoma
A complex, multifaceted experience, not just a symptom of injury or disease, requiring both the physical and psychological aspects
What is Pain
When do you treat low blood pressure
When the patient is symptomatic
Pulmonary embolism, atelectasis, residual anesthetic, pain
Causes of decrease O2 saturation
Eliminated or controlled before discharge
Nausea & vomiting
Peripheral pulses & sensation of extremity
Neurovascular assessment
vital signs (RR, HR, BP, O2 saturation) and level of sedation using the Pasero Opioid Induced Sedation Score
Pain assessment for all patients
Heart Rate less than 50 BPM
Bradycardia
Noninvasive way to manually opens a patients airway
Head tilt Chin lift
>92% or basline
Oxygen saturation
Kept intact 7-10 days post-op
Surgical dressing
Reversal agent for Versed (benzodiazepine)
Romazicon
Measurement when the heart beats
Systolic pressure
Elevated CO2 levels
What is Hypercarbia
Activity
MAE = & strong or back to baseline
Removes accumulated blood, serum, and lymphatic fluid from a surgical sites, which helps prevent infections, reduces pressure on tissues, and minimizes complications like seromas (fluid pockets) or hematomas.
What is a surgical drain
0.04-0.08 mg IV given q2min until desired effect.
Narcan