Show:
PACU
Med/Surg
Circulation
Respiration
Pain
100
Patient maintains own AIRWAY.
What is necessary for transport from PACU.
100
Surgeon's parameters
What is essential for the nurse to know before starting to care for a post-operative patient?
100
Hypovolemic.
What is the most common type of shock in the post-op period? (dehydration and BLEEDING)
100
Incentive spirometer.
What is a tool to assist a patient to breathe deeply?
100
Post-op day 0 through 2.
What is a common amount of time to medicate a patient for pain control around-the-clock?
200
Provide HAND-OFF REPORT.
What a nurse completes at the time of patient transfer from the PACU to the nursing unit?
200
Vital signs, the surgical site, IV fluids, drainage systems, fluid balance, pain and GI status.
What are frequent assessments post-operative patient?
200
Sequential compression boots, compression stockings, Lovenox (enoxaparin sodium)
What are interventions to prevent deep vein thrombosis?
200
Reduced respiratory drive.
What is a major side-effect of anesthesia and opioid analgesia?
200
Decreased peristalsis, increased nausea and vomiting.
What are effects of pain medications on the GI system?
300
Short-acting opioids
What is the class of medication administered for pain control in the immediate post-operative period?
300
Turn, cough, deep breathe.
What are basic interventions to prevent post-op pneumonia?
300
Upward and downward trends in vital signs.
What is the nurse looking for in the post-operative patient?
300
Smoking history, reactive airway disease, time under anesthesia.
What factors influence a patient's recovery from anesthesia?
300
Increased pulse, increased blood pressure, restlessness and agitation.
What are common signs of increased pain?
400
ABC's (Airway, Breathing and Circulation)
What is the nursing priority in the immediate postoperative period?
400
Early and frequent AMBULATION.
What is necessary for recovery of the respiratory, circulatory, urinary, GI, musculoskeletal, integumentary and neurological systems after surgery?
400
BP: 86/40; P:114;R:28;O2 Sat: 90%; skin pale and cool.
What are signs of fluid volume depletion/ post-op hemorrhage?
400
Atelectasis and pneumonia
What are two major respiratory complications in the post-op patient.
400
Splint abdominal incision with a pillow.
What is a nursing intervention that can reduce post-op pain with coughing, deep breathing, position change and ambulation?
500
Cover surgical area with sterile saline-soaked gauze and call the surgeon.
What a nurse does if the patient experiences evisceration?
500
Notify the surgeon
What a nurse does promptly when there is a change in patient status.
500
Less than 30 mLs per hour.
What is dangerously low urinary output?
500
Shortness of breath; fast, labored breathing; bluish skin or fingernail color; rapid pulse; fever; chills.
What are symptoms of respiratory distress?
500
Level of consciousness and sedation; respiratory status.
What assessments need to be considered prior to administering opioid analgesia?