The retained secretions are rich in nutrients for the growth of bacteria
This leads to stasis pneumonia, especially in the critically ill patient
Give this one a try later!
Atelectasis to Pneumonia
Collapse of lung tissue caused by the depressant effects of anesthesia drugs.
Mucous plug blocks bronchioles and air is trapped, later reabsorbed collapsing the
alveoli.
Other atelectasis caused by pressure on the lung from fluid or air in the pleural space
Or pressure from a tumor.
Give this one a try later!
, PostOP atelectasis
In Clinical Skills Lab, you will learn how to administered Lovenox (anticoagulant
therapy) for the prevention of Deep Vein Thrombosis, Pulmonary Emboli in hip and
knee replacement, or abdominal surgery at risk for thrombosis.
Contraindications of this medication (Lovenox) include: Hypersensitivity to this drug,
heparin, or pork, hemophilia; leukemia;
Peptic Ulcer Disease; Thrombocytopenia; patients at increased risk for bleeding.
Give this one a try later!
Thromboembolism Nursing Interventions cont'
Definitely need to monitor the operative site for signs of hemorrhage. Observe
surgical site and dressings regularly, including dependent sites (q 1 hr for 4 hrs, then q
4 hrs) to detect signs of bleeding. Monitor Vital Signs q 15 mins to q 2-4 hrs as
indicated to detect signs of hypovolemia.
Report abnormalities such as decreasing blood pressure; rapid pulse and respirations;
cool, clammy skin; pallor/pale and bright red blood on dressing.
Monitor for changes in the patient's mental status, such as Restlessness and a sense of
pending doom, as indicators of inadequate cerebral perfusion.
Monitor such lab tests as: Hematocrit, Hemoglobin - decreases in levels may indicate
hemorrhage.
Monitor platelet levels and coagulation function tests (PT, PTT) - because alterations
indicate bleeding
Give this one a try later!
, Nursing Interventions for Hemorrhage
Causes:
Immobility**
Vascular manipulation
Dehydration
Signs/Symptoms:
Swelling
Redness
Warmth
Pain
Chest pain
Tachypnea
Dyspnea
Restlessness
Give this one a try later!
Thromboembolism cont'
The Postoperative period begins immediately after surgery and continues to the
patient is discharged from medical care.
From OR --> PACU --> either transfer to ward/unit or Discharge home from
ambulatory surgery suite
Nurses must monitor the patient for postoperative problems during these transitions;
It's critical in the safe recovery of the patient
Give this one a try later!
, Postoperative Care
Caused by a decreased respiratory rate or effort, hypoxemia, and an increasing
PaCO2 (high levels of Carbon Dioxide in the lungs). Hypoventilation may occur as a
result of depression of the central respiratory drive, secondary to anesthesia or pain
medications. Or hypoventilation may occur as result of poor respiratory muscle tone,
secondary to neuromuscular blockade or disease. Or a combination of both.
Give this one a try later!
Hypo-ventilation
Hemorrhaging is a large amount of blood externally or internally in a short period of
time. Definitely need to monitor the operative site for signs of hemorrhage. Observe
surgical site and dressings regularly, including dependent sites (q 1 hr for 4 hrs, then q
4 hrs) to detect signs of bleeding. Monitor Vital Signs q 15 mins to q 2-4 hrs as
indicated to detect signs of hypovolemia.
Give this one a try later!
Hemorrhage
Surgical Team
surgeon
anesthesia provider
circulating nurse
Report to PACU Nurse
This leads to stasis pneumonia, especially in the critically ill patient
Give this one a try later!
Atelectasis to Pneumonia
Collapse of lung tissue caused by the depressant effects of anesthesia drugs.
Mucous plug blocks bronchioles and air is trapped, later reabsorbed collapsing the
alveoli.
Other atelectasis caused by pressure on the lung from fluid or air in the pleural space
Or pressure from a tumor.
Give this one a try later!
, PostOP atelectasis
In Clinical Skills Lab, you will learn how to administered Lovenox (anticoagulant
therapy) for the prevention of Deep Vein Thrombosis, Pulmonary Emboli in hip and
knee replacement, or abdominal surgery at risk for thrombosis.
Contraindications of this medication (Lovenox) include: Hypersensitivity to this drug,
heparin, or pork, hemophilia; leukemia;
Peptic Ulcer Disease; Thrombocytopenia; patients at increased risk for bleeding.
Give this one a try later!
Thromboembolism Nursing Interventions cont'
Definitely need to monitor the operative site for signs of hemorrhage. Observe
surgical site and dressings regularly, including dependent sites (q 1 hr for 4 hrs, then q
4 hrs) to detect signs of bleeding. Monitor Vital Signs q 15 mins to q 2-4 hrs as
indicated to detect signs of hypovolemia.
Report abnormalities such as decreasing blood pressure; rapid pulse and respirations;
cool, clammy skin; pallor/pale and bright red blood on dressing.
Monitor for changes in the patient's mental status, such as Restlessness and a sense of
pending doom, as indicators of inadequate cerebral perfusion.
Monitor such lab tests as: Hematocrit, Hemoglobin - decreases in levels may indicate
hemorrhage.
Monitor platelet levels and coagulation function tests (PT, PTT) - because alterations
indicate bleeding
Give this one a try later!
, Nursing Interventions for Hemorrhage
Causes:
Immobility**
Vascular manipulation
Dehydration
Signs/Symptoms:
Swelling
Redness
Warmth
Pain
Chest pain
Tachypnea
Dyspnea
Restlessness
Give this one a try later!
Thromboembolism cont'
The Postoperative period begins immediately after surgery and continues to the
patient is discharged from medical care.
From OR --> PACU --> either transfer to ward/unit or Discharge home from
ambulatory surgery suite
Nurses must monitor the patient for postoperative problems during these transitions;
It's critical in the safe recovery of the patient
Give this one a try later!
, Postoperative Care
Caused by a decreased respiratory rate or effort, hypoxemia, and an increasing
PaCO2 (high levels of Carbon Dioxide in the lungs). Hypoventilation may occur as a
result of depression of the central respiratory drive, secondary to anesthesia or pain
medications. Or hypoventilation may occur as result of poor respiratory muscle tone,
secondary to neuromuscular blockade or disease. Or a combination of both.
Give this one a try later!
Hypo-ventilation
Hemorrhaging is a large amount of blood externally or internally in a short period of
time. Definitely need to monitor the operative site for signs of hemorrhage. Observe
surgical site and dressings regularly, including dependent sites (q 1 hr for 4 hrs, then q
4 hrs) to detect signs of bleeding. Monitor Vital Signs q 15 mins to q 2-4 hrs as
indicated to detect signs of hypovolemia.
Give this one a try later!
Hemorrhage
Surgical Team
surgeon
anesthesia provider
circulating nurse
Report to PACU Nurse
