Complications : Hypovolemic shock
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postoperative shock can result from a massive loss of circulating blood
volume
NURSING ACTIONS
-monitor for decreased blood pressure and urinary output, increased heart
and respiratory rates, narrowing of pulse pressure, and slow capillary refill
-monitor postoperative laboratory values (hemoglobin, hematocrit,
creatinine, BUN)
-administer oxygen
-place the client in a supine position with legs elevated
-assist with the administration of IV fluids and vasopressores
Monitoring and management: Pain
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, a preventive approach using around the clock scheduling is more effective
than PRN medication delivery during the first 24 to 48 hour postoperatively
NURSING ACTIONS
-provide continuous pain relief
-monitor pain level frequently
-encourage the client to ask for pain medication if needed
-monitor for manifestations of pain
-monitor for adverse effects of opioids
-encourage the client to change positions slowly
-provide analgesia 30 min before amp or painful procedures
-monitor for effectiveness of pain medication after administration
Monitoring and management: Discharge teaching
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CLIENT EDUCATION
-the purpose , administration guidelines, and adverse effects of
medications
-activity restrictions (driving, stairs, weight, limits on lifting, sexual activity)
-dietary guidelines, if applicable
-treatment instructions (wound care, catheter care, use of assistive devices)
-emergency contact information and findings to report
Initial postoperative care involves
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data collection, administering medications, managing pain, preventing
complications, and determining when a client is ready to be discharged
from the PACU. During the immediate care postoperative stage,
maintaining airway patency and ventilation and monitoring circulatory
status are the priorities for care. Postoperative clients who receive general
anesthesia require frequent data collection of their respiratory status.
Give this one a try later!
postoperative shock can result from a massive loss of circulating blood
volume
NURSING ACTIONS
-monitor for decreased blood pressure and urinary output, increased heart
and respiratory rates, narrowing of pulse pressure, and slow capillary refill
-monitor postoperative laboratory values (hemoglobin, hematocrit,
creatinine, BUN)
-administer oxygen
-place the client in a supine position with legs elevated
-assist with the administration of IV fluids and vasopressores
Monitoring and management: Pain
Give this one a try later!
, a preventive approach using around the clock scheduling is more effective
than PRN medication delivery during the first 24 to 48 hour postoperatively
NURSING ACTIONS
-provide continuous pain relief
-monitor pain level frequently
-encourage the client to ask for pain medication if needed
-monitor for manifestations of pain
-monitor for adverse effects of opioids
-encourage the client to change positions slowly
-provide analgesia 30 min before amp or painful procedures
-monitor for effectiveness of pain medication after administration
Monitoring and management: Discharge teaching
Give this one a try later!
CLIENT EDUCATION
-the purpose , administration guidelines, and adverse effects of
medications
-activity restrictions (driving, stairs, weight, limits on lifting, sexual activity)
-dietary guidelines, if applicable
-treatment instructions (wound care, catheter care, use of assistive devices)
-emergency contact information and findings to report
Initial postoperative care involves
Give this one a try later!
data collection, administering medications, managing pain, preventing
complications, and determining when a client is ready to be discharged
from the PACU. During the immediate care postoperative stage,
maintaining airway patency and ventilation and monitoring circulatory
status are the priorities for care. Postoperative clients who receive general
anesthesia require frequent data collection of their respiratory status.
