Urinary: Decreased output
800-1500 expected in first 24 h. Should return to normal by 2nd or 3rd day
Give this one a try later!
Cause or S/S:
Anesthesia, location of surgery, stress of surgery, fluid restriction, position
or immobility, renal failure.
Intervention:
Adequate hydration, positioning. *Bladder scan first. If ordered intermittent
catheterization q6-8h prn.
Urinary: Urinary retention (may take 6-8 hours to void after surgery)
Give this one a try later!
, Cause or S/S:
Anesthesia, location of surgery, position or immobility.
Intervention:
Adequate hydration, positioning. *Bladder scan first. If ordered intermittent
catheterization q6-8h prn.
Cardiovascular - Clinical Unit: Fluid Retention - POD 1 to 3
Give this one a try later!
Cause or S/S:
Stress response - body attempts to maintain blood volume and BP
Intervention:
Watch for fluid overload, accurate I&O
Significance of Post-op Temperature: After 48 hours
(POD 3 or later)
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Temperature:
Elevation above 100F
Possible Causes:
Infection - wound, urinary, respiratory.
DVT 7-10 days post-op
Gastrointestinal: Post-op Ileus -early (see abdominal distension)
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Cause or S/S:
Decreased peristalsis d/t Anesthesia or analgesic. Limited oral intake pre
and post surgery. Increased abdominal girth, gas pain especially POD 2-3
Intervention:
Early ambulation, expel flatus, right side lying, stool softeners or laxatives.
Auscultate bowel sounds
Cardiovascular - Clinical Unit: VTE, PE
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Cause or S/S:
Decreased tissue perfusion.
VTE-pain, swelling.
PE-SOB.
Intervention:
Early ambulation, SCD's, TEDS, prophylaxis SQ heparin or enoxaparin. If
clot present initiate anticoagulant therapy
Role of RN in Discharge: Phase 2 - SDS
Give this one a try later!
800-1500 expected in first 24 h. Should return to normal by 2nd or 3rd day
Give this one a try later!
Cause or S/S:
Anesthesia, location of surgery, stress of surgery, fluid restriction, position
or immobility, renal failure.
Intervention:
Adequate hydration, positioning. *Bladder scan first. If ordered intermittent
catheterization q6-8h prn.
Urinary: Urinary retention (may take 6-8 hours to void after surgery)
Give this one a try later!
, Cause or S/S:
Anesthesia, location of surgery, position or immobility.
Intervention:
Adequate hydration, positioning. *Bladder scan first. If ordered intermittent
catheterization q6-8h prn.
Cardiovascular - Clinical Unit: Fluid Retention - POD 1 to 3
Give this one a try later!
Cause or S/S:
Stress response - body attempts to maintain blood volume and BP
Intervention:
Watch for fluid overload, accurate I&O
Significance of Post-op Temperature: After 48 hours
(POD 3 or later)
Give this one a try later!
Temperature:
Elevation above 100F
Possible Causes:
Infection - wound, urinary, respiratory.
DVT 7-10 days post-op
Gastrointestinal: Post-op Ileus -early (see abdominal distension)
, Give this one a try later!
Cause or S/S:
Decreased peristalsis d/t Anesthesia or analgesic. Limited oral intake pre
and post surgery. Increased abdominal girth, gas pain especially POD 2-3
Intervention:
Early ambulation, expel flatus, right side lying, stool softeners or laxatives.
Auscultate bowel sounds
Cardiovascular - Clinical Unit: VTE, PE
Give this one a try later!
Cause or S/S:
Decreased tissue perfusion.
VTE-pain, swelling.
PE-SOB.
Intervention:
Early ambulation, SCD's, TEDS, prophylaxis SQ heparin or enoxaparin. If
clot present initiate anticoagulant therapy
Role of RN in Discharge: Phase 2 - SDS
Give this one a try later!
