Care of Pre/Intra/Post Pts Flashcards
Powerpoint Notes
When you start your initial assessment on a pt, What ?data to you collect
Family History
Age
Drug use/substance
Pervious surgical procedures
Discharge planning procedures
Labs
What data do you collect on the physical Assessment?
Baseline Vital signs
Focus on the problem area in history and the area involved in surgery
Report abnormal assessment
assess for Sleep Apnea (STOP-BANG)
What should a nurse do for her pt before surgery?
Hint: PEIPM
Provide Information
Ensure consent
Implement Dietary Restrictions
Prevent respiratory or cardiovascular
Minimizing Anxiety
What drugs that allowed with sip of water?
Cardiac
Respiratory
Seizures
Hypertension
What are Post-op Assessment for Respiratory System?
Rate, Pattern, Depth
Stridor= airway is closing CODE
Respiratory Depression
What are Post-op Assessment for Cardio?
Monitor for VTE- Venous Thromboembolism (Blood clot)
Vital signs
What are Post-op Assessment for Neurologic System?
Cerebral functioning
Motor and sensory assessment
What are Post-op Assessment for Fluid System?
Hydration Status
IV Fluids
Look at the wound drainage and NG tube drainage
What are Post-op Assessment for Renal/ Urinary System?
I and O’s
Consider other sources of output like sweat
Report less then 30ml / hour
What are Post-op Assessment for Gastrointestinal System?
3 meds?
Peristalsis (swallowing) delayed up to 24 hr.
Monitor bowel Sounds
Three meds for N/V:
-Ondansetron
-Meclizine
-Scopolamine
What are Post-op Assessment for Skin?
Watch for Dehiscence- sutures come apart or Evisceration- intestine come out
What happens if you pt has a Eviseration?
Take 4x4 ABD pads
Soak in normal Saline
Call surgeon
Nursing Interventions for Potential Hypoxemia
Airway Maintenance
Monitor SpO
Semi-Fowlers
Breathing Exercises
Nursing Interventions for Wound Care
Drug Therapy
Wound Debridement
Nursing Interventions for Promoting Peristalsis
Abdominal Assessment
Adequate hydration
Promote Mobility
Non-opioid Interventions
Meds
