Signs & Symptoms
S/S include tachypnea, tachycardia, heart arrhythmias, hyperkalemia, muscular rigidity
What are early signs of malignant hyperthermia?
The client should use me every hour while awake and inhale 10 times with each use
What is incentive spirometer?
Involves the use of medications to depress the central nervous system. During this type of anesthesia, clients experience a loss of consciousness, reflexes, and sensation.
What is general anesthesia?
The client should perform leg exercises every _______ to reduce the risk for deep vein thrombosis.
What is every 1 to 2 hrs?
Absence of _______ is normal until peristalsis returns.
What is flatus?
S/S include tachycardia, hypotension, confusion, oliguria, decreased capillary refill
What is hypovolemia?
The client should ______ through their nose and ____ through their mouth when coughing and deep breathing to promote lung expansion.
What is inhale, exhale?
Involves the use of a local or topical anesthetic agent to produce loss of pain and touch in a specific area. Clients are awake and alert during.
What is local anesthesia?
This promotes venous return from the legs and helps to prevent venous thrombosis.
What are antiembolism stockings?
A diet high in protein, vitamin C, iron and zinc will aid in this
What is post operative healing?
S/S include redness, unilateral swelling, and pain of the calf area
What is VTE (venous thromboembolism)?
You can use "me" when when coughing and deep breathing to decrease pain and support your abdominal incision.
Involves the use of short-acting IV sedatives. During this type of anesthesia, clients are drowsy, but arousable.
What is moderate sedation?
This helps prevent thickening of blood.
What is hydration?
This can lead to to surgical complications, especially abdominal surgeries
*hint - may need antiemetics
What is nausea & vomiting?
S/S include tachycardia, hypertension, crackles in lungs, peripheral edema, decreased hemoglobin and hematocrit
What is hypervolemia?
You can have me 2 hours prior to surgery but no sooner.
What are clear liquids?
Involves the use of an anesthetic agent injected into a sensory nerve pathway, such as during a spinal or epidural block. Clients are arousable during.
What is regional anesthesia?
*examples spinal, epidural
This classification of medications can help prevent a VTE
What are anticoagulants?
This is a priority in a surgical patient's recovery. Once anesthesia begins to wear off, this will become more prominent. Ongoing evaluation and control of this is vital.
What is post operative pain?
S/S include elevated temp up to 111.2 F, myoglobinuria, multiple organ failure, hypotension, cyanosis, skin mottling
What are later signs of malignant hyperthermia?
Antibiotics should be given within _______ of the incision time
What is 1 hour?
Right client, correct procedure, correct site
What is a surgical "time-out?"
*remember - marking of the site is done prior
When part of the DVT clot breaks off and travels to the lungs.
S/S include chest pain, SOB, altered LOC
What is a pulmonary embolism?
This is the first priority in the care of a post operative patient.
What is a patent airway?