postoperative Flashcards
POD
post op day 1= day after surgery
potential respiratory complications
airway obstruction
- hypoxemia
- atelectasis
- pulmonary edema
- aspiration
- bronchospasm
how to position pt for lower risk of tongue obstructing airway
on their side
%O2 sat to be considered hypoxemia
less than 90
2 hallmarks of hypoxemia
- causes agitation
- number one cause of atelectasis
result of atalectasis on breathing pattern and lungs
hypoventilation
mucous plugs
sign of pulmonary edema
pink frothy sputum
positioning awake vs asleep
asleep: lateral side lying position
awake: fowlers
nursing interventions post op
- give O2
- incentive spirometer
- TC&DB
- position changes
post-op HTN signs and caused by?
pain
anxiety
bladder distention
respiratory distress
-CNS stimulation (stress response)
VTE
venous thromboembolism
high risk for VTE
obese, immobilized, previous VTE
3 specific cardiac things to monitor
BP, HR, rhythm
MOST significant general nursing intervention after surgery
early ambulation
how soon to start back on anticoagulants post-op
within 24 hours
what is a plexipulse
compression device for the feet
common post-op pain
- d/t local tissue damage
- muscle spasms
- sore throat
bad/abnormal type of pain post op
deep pressure in viscera
how long to give opioids post op
at least 48 hours
what not to give opioids for
gas pain – makes worse
causes of hypothermia post op
cold irritants and gases
prolonged anesthesia
open cavity procedure
what % does shivering increase your oxygen consumption
500%
when is a fever considered a fever post op
48 hours post op
what to treat shivering with
opioids
