Postop

Question 1

What are S/S or hemorrhage?

Answer 1

Hypotension
Rapid threats pulse
Disorientation
Restlessness
Oliguria
Cold, pale skin
Can lead to hypovolemic shock

Question 2

What are the types of shock?

Answer 2

Hypovolemic
Cardiogenic
Neurogenic
Anaphylactic
Septic

Question 3

What is the most common type of shock in postop

Answer 3

Hypovolemic

Question 4

What are indicators of recovery?

Answer 4

Stable bp
Adequate respiratory function
Adequate oxygen saturation
Aldrete score between 7-10

Question 5

What are S/S of flash pulmonary edema?

Answer 5

Agitation
Tachypnea
Tachycardia
Decreased pulse ox
Frothy, punky sputum
Crackles

Question 6

What are possible complications following surgery?

Answer 6

Infection
DVT
Hemorrhage
Hematoma
Pulmonary infection / hypoxia
Wound Dehiscence or evisceration

Question 7

What are the three stages of wound healing?

Answer 7

Inflammatory
Proliferative
Wound concentration & Remodeling phase

Question 8

What happens during the inflammatory phase?

Answer 8

At time of injury, blood clot formation and phagocytes to wound.

Neutrophils ingest and remove bacteria and cellular debris

Then macrophages ingest cellular debris and play role in growth factors for proliferative phase

Question 9

What happens during proliferation phase

Answer 9

Building new tissue to fill wound space.

Key cell is fibroblast, connective tissue cell that synthesizes and secretes collagen, proteoglycans, glycoproteins, and endothelial cells

Epithelialization cells at wound edges proliferate to form new surface layer

Question 10

What is wound contraction and remodeling phase?

Answer 10

3 weeks after injury

Fibrous scar - decrease in vascularity and continued remodeling of scar tissue by simultaneous synthesis of collagen by fibroblasts

Question 11

S/S of DVT

Answer 11

Pain or cramp in calf
Tachypnea
Chest pain
Hemoptysis
SOB
Sense of impending doom