Post-Op Care
What surgery did Jonathan have on his left leg?
Total knee replacement
Name 1 anticoagulant?
Heparin, enoxaparin sodium, warfarin sodium, apixaban, rivaroxaban
Name one symptom of a DVT
Edema, pain, warmth, erythema, dilated superficial veins
What vital sign change is often seen with pain or anxiety?
Increased heart rate
What type of diabetes does Jonathan have?
Type II
How many days post-op is Jonathan?
3 days
What common side effect of morphine should the nurse monitor for?
Respiratory depression
Where is the most common location(s) of a DVT?
Lower leg, thigh, or pelvis
What is a normal range for oxygen saturation in a healthy adult?
95-100%
What is the primary goal of diabetes management?
Maintaining normal blood glucose levels
What should the nurse check on the leg after surgery?
Swelling, color, and movement
True or false? A nurse should check the dose with another nurse before administering Heparin
True
What is one nursing intervention to prevent DVT formation postoperatively?
SCDs, compression socks, ambulation
What are early signs of respiratory distress?
Restlessness, anxiety, increased respiratory rate
What medicine does he take to control blood sugar?
Metformin
What activity helps prevent stiffness after knee surgery?
Range of motion, ambulation
Which lab value should the nurse monitor closely while giving anticoagulants?
INR
What are the three main risk factors of a DVT (Virchow's Triad)
Hypercoagulable state, endothelial injury, venous stasis
What abnormal vital sign puts someone at risk for vascular disease?
High blood pressure
What food can help if blood sugar is too low?
Something sugary, like juice
When should the patient begin physical therapy after a total knee replacement?
Within 24 hours
What is the action of Heparin?
Inactivates factor X and blocks the formation of thrombin from prothrombin
What life-threatening complication can result from a DVT traveling to the lungs?
Pulmonary Embolism
What happens to blood pressure when arterial elasticity decreases?
Increases
Why does diabetes make surgery recovery harder?
High blood sugar slows healing