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The post operative phase
Begins with the admission of the patient to the recovery area and ends with a follow up evaluation in a clinical setting or at home
What are 2 things that PACU monitors after surgery
- anesthesia complications
- surgery complication
vital signs are assessed on a post op patient. Which vital sign is most important
Respiratory rate, depth, and rhythm
A low respiratory rate may indicate
anesthetic- or opioidanalgesic–induced depression
Rapid, shallow respirations may indicate
signal shock, cardiac problems, increased metabolic rate, or pain.
what is the typical IV fluid administered after anesthesia
D5 .45% NSS
When should the nurse report an abnormally low urine output
less than 30 cc/ hour
What is the treatment for pts with nausea and vomiting after surgery
- side-lying, HOB up position
- antiemetic medications to be given
Who performs the first dressing change?
What is the post op progressive diet
NPO to liquids to soft to house meals
During the post op period, what conditions do all pts remain at risk for?
pneumonia, shock, cardiac arrest, respiratory arrest, deep vein thrombosis, and GI bleeding
When a pt is admitted to the PACU, what is the first thing that needs to be assessed?
- patent airway
- adequate gas exchange
The pulse ox should be above what percentage?
What isotonic solutions are used to promote fluid replacement in the PACU
- lactated Ringer's (LR),
- 0.9% saline
- 5% dextrose with lactated Ringer's (D5/LR)