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15 Cards in this Set
- Front
- Back
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When are medications usually stopped prior to surgery?
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1 week prior
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Why must the nursing staff consider the pts hepatic and renal status prior to surgery?
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Because almost all drugs run through these organs for metabolism and secretion?
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What is C&DB? Why is it used?
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Cough and Deep Breathe. usually taught prior to surgery.
Used to help prevent atelectasis and pneumonia |
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IF a pt has had abdominal surgery, what must they be taught along with C&BD?
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Splinting: putting a pillow against stomach while C& DB to help with pain
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What do anticholinergics help during surgery?
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They help up secretions and can prevent bradycardia caused by intubation
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What is malignant hyperthermia?
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Rxn to anesthesia that can causes temperatures of 105 or >
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What are the post op nursing diagnoses?
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1. Risk for ineffective airway clearance
2. Risk for FVD 3. Risk for infection 4. Pain 5. Knowledge deficit 6. Risk for DVT |
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What position should a pt be place after surgery? Why?
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On their left .
to decrease the risk for aspiration |
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If a pt is restless after surgery, what are the 2 possible problems?
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Pain and respiratory distress (hypoxia).
Check O2 sat |
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What drug is often given to pts post surgery to help prevent vomiting?
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Zofran
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What is the drug given prophylactically for PE?
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Lovinox
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What is important to remember when giving Lovinox?
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Do not get rid of the little bubble in the pre-filled syringe
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What are the most common Post-Operative complications?
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1. Atelectasis
2. Pulmonary Embolus 3. Pneumonia 4. Paralytic Ileus 5. DVT 6. SHock 7. Urinary Retention 8. Dehiscence-Evisceration |
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WHat is a dehiscence?
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When the suture line separates. Sutures or staples come apart
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What is evisceration? What actions should be taken if it occurs?
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Abdominal contents coming out of the suture post abdominal surgery.
Leave the pt as they are, tell them not to move, get someone to get big bandages and sterile saline. Hold it and notify the HCP |
