Postop Patient Mgmt Flashcards
(35 cards)
T/F: Patients have more preoperative concerns about the sequelae of surgery (pain,
swelling) than about the procedure itself
True
Should you give IV sedation pt pre or post op instructions?
Both!
Do you want the gauze to control bleeding to cover the occlusal surfaces?
No
Do you want the gauze to control bleeding to be closed in the socket to the point where the occlusal surfaces are touching when closed?
No; want gap when closed
How long do you want pressure from gauze to control bleeding?
30-45 mins
Do you want the gauze to control bleeding to be moistened?
Yes
T/F: Patients should be told they might expect mild continual oozing over next 24 hours
True
If still oozing after removal of second gauze pack, patient can bite on _____ for another 1
hour
• Directions: boil tea bag, remove from hot water to cool, wrap in gauze, bite hard 1 hour
• Tannic acid is a local vasoconstrictor and pro-coagulant
tea bag
Smoking (avoid for at least __ hours if possible)
• Nicotine interferes with wound healing
• The pull of the cigarette/pipe/cigar causes negative pressure, potentially pulling the clot
out of the socket
24 hours
Should we be concerned or not in these situations?
• If bright red blood fills the mouth in matter of minutes
• If there is a large liver clot present over socket
• Most often darker in color, but can be bright red
Yes
T/F: Amount of pain after extraction is highly variable, and depends in part on the patient’s
preoperative expectations
True
Watch which drug if there are kidney issues and ulcers?
Ibuprofen
Watch which drug if there are liver issues?
Tylenol
Peak pain occurs after __ hours after procedure and diminishes rapidly after that
12 hours
Significant pain rarely persists longer than __ days
2 days
Instruct the patient to take a dose of medication ~__ hour after procedure was completed, even
if they are still numb
1 hours; before anesthetic wears off
Medication needs to be absorbed and then distributed to CNS for effect, which takes at least __ min
45 mins
What is the active metabolite of codeine?
Morphine
If narcotics are needed for post op pain mgmnt, how many days should you be limited to?
2-3 days
• T/F: In fact a high calorie, high volume liquid or soft diet is best for first 12-24 hours
True
What are the 3 characteristics of the food that pt can eat after extraction?
Soft, cold, and bland (also no carbonation)
Can you use straws post extraction?
No!
Post op day __: brush gently on teeth not in surgical site
Post op day 0
Post op day __: gentle rinses with warm dilute salt water
Post op day 1
