Card Set Information
Med Surg: Ch. 18
What is the most impt assessment post-operatively?
What are all pts at risk for during the post op period?
pneumonia, shock, cardiac arrest, resp arrest, DVT, and GI bleeding
What is the first thing to assess when pt is admitted to PACU?
immediately assess for patent airway and adequate gas exchange.
*talking is not a good indicator of adequate gas exchange
What could a RR of below 10 BPM indicate?
anesthetic or opioid analgesic depression
What could rapi shallow resp indicate?
shock, cardiac problems, increased metabolic rate, or pain
What would you suspect if lung sounds were absent on L and R chest wall was the only one rising and falling?
ET tube has moved down into R lung
high pitched crowing sound
what could it mean if a pt is snoring and you hear stridor?
airway obstruction from tracheal or laryngeal spasm or edema, mucus in the airway, or blockage of the airway from edema or tongue relaxation.
What could decreased BP and pulse and abnormal heart sounds indicate?
Possible cardiac depression, fluid vol. deficit, shock, hemorrhage, or the effects of drugs.
What could bradycardia mean?
Anesthesia effect or hypothermia
What could increased pulse rate mean?
shock, hemorrhage, or pain
difference btwn the apical and peripheral pulses
What could a pulse deficit mean?
What urine output is red flag? what could this indicate?
Report less than 30 ml/hr; may indicate hypovolemia or renal problems
What could cause delayed Int. peristalsis
Long anesthesia time, amt of bowel handling , and opiod analgesic use.
What is the best indicator of int activity?
passage of flatus or stool
What does ab cramping along with distention indicate?
trapped nonmoving gas, not peristalsis
How long does it take to completely heal all layers of tissue?
6 months to 2 years
Which wounds heal quickest?
Head and facial wounds heal quicker than ab and leg wounds cause of the better blood flow to the head and neck.
yellow and bloody; should gradually decrease, considered normal until 5th day post-op
partial or complete separation of the outer wound layers
total separation of all wound layers and protrusion of internal organs through the open wound.
When does pain usually reach its peak?
second day after surgery
Why is the T tube considered a special drain?
Cause it may be placed for specific drainage purposes, such as to drain bile after cholecystectomy