Post-op Care Flashcards Preview

EMS 2 > Post-op Care > Flashcards

Flashcards in Post-op Care Deck (14):
1

Assessment of VS and CVP

- Pulse, resp and BP until stable
- Freq depends on operation
- EKG monitoring
- Record CVP post op if fluid shifts or blood loss
- Swan Ganz catheter if cardiac or resp compromise

2

Normal fluid maintenance

- Notify surgeon if failure to void 6-8 hrs post-op
- 1500-2500 mL depending of sex, wt, ht
- LR or normal saline
- Pts wt x 30
- More if fever, hyper vent, hyper catabolic

3

ID and mgmt of 3rd spacing

- Typically replaced during operation
- Retroperitoneal dissection, severe pancreatitis

4

Volume overload

- Edema, JVD, tachypnea
- Increased CVP
- Urine: low sodium, high potassium
- Sodium restriction, diuretics

5

Volume depletion

- NG suction, fistulas, adrenal insufficiency, burns
- Hypernatremia- CNS depression, lethargy, coma
- Musc rigidity, tremors, spasticity and seizures
- Tx with 5% glucose in water or hypotonic saline

6

Whole blood

RBC replacement in massive loos with hypovolemia

7

Fresh frozen plasma

Replacement of coag factors in clotting deficies, warfarin

8

Platelets

Thrombocytopenic pts
- Clotting disorders
- Not donor matched

9

Washed RBCs

Anemic puts with severe or recurrent allergic rxns

10

Return to bowel fxn

- Sm intestine- 24 hrs
- R colon- 48 hrs
- L colon 72 hrs
- Stomach 3-4 days
- Return or peristalsis = appetite, bowel sounds, farting

11

Packed RBCs

- Tx of choice to replace RBCs
- Increases carrying capacity in anemic pts

12

Leukocyte reduced RBCs

- Febrile, nonhemolytic tranfusion rxn to RBCs

13

Irradated RBCs

- Severely immunocompromised
- Prevents graft v host dz

14

Frozen deglycerolized RBCs

Alloimunized for rare blood types