Dr. Kareema Ahmed Hussein 2017 -2018 Post operative care Dr. Kareema Ahmed Hussein 2017 -2018

Goals of post operative care: To help patient Return to normal ( physical and psychological function ). To avoid post operative surgical wound infection To achieve rest and comfort. To prevent operative complication

Receiving the patient from recovery room `L Preparing the patients room . Arrange furniture's so that the stretcher can reach the patients bed . Prepare the bed 'of pt. In a surgical bed . Have an emesis basin and tissue at bed side table . Have equipment that may needed in room to give care to patient like intravenous standard , suction , oxygen equipment .

Receiving the patient . Assist the recovery room persons to move the patient from the stretcher . The tubing and pt's dressing must be not disturbed while transferring him . Position the patient in proper way , usually on the back and his head on one side to facilitate drainage from the mouth . Receive the pt's record post operatively and out the immediate needs , Check the patient's condition as follows . Assess the resp. status . Assess the cardio. vascular system . Assess the level of consciousness . Assess the dressing . Assess the tubes .

3.Post operative nursing care . 1- Check vital signs every 15 m for several hours very V2hours then every 4 hours for several days 2-Be alert to an obstruction in air way by(aspiration of mucus or vomiting ) . 3--Observe the dressing for bleeding . 4-Watch post operative chilliness and keep pt. Warm 5-Carry out diagrammatic breathing , coughing and leg exercise every 2 hours

6-Change position in bed every 1-2 hours . 7-Early ambulating . 8-Help to maintain proper fluid ,food and electrolyte in take according to order . 9-Help to promote urinary and intestinal elimination. 10-Promote rest and sleep . 11-Psychological support. 12-Teaching ( post op. diet) . 13-Care of wound and dressing change .

The common post operative discomfort : Nausea and vomiting . Pain . Hiccups. Urinary retention . Thirst . Anxiety and insomnia . Post operative complication. Immediate complication . Later complication .

Immediate complication : The complication occur in patients who received prolonged or deep anesthesia . Respiratory difficulties Circulatory failure 2. Later complication Shock . Hemorrhage Wound infection . Alelectasis . Respiratory tract infection Urinary tract infection . Thrombophelbities . Pulmonary imbolism. Emotional disturbance .

Signs and Symptoms : Pail and cramping in the calf of the leg . Swelling /edema. Fever some time with chill . Redness in area . Nsg care : Teach the pt. To do exercise of leg and feet . Wrap the legs from toes to groin with elastic material Bed rest . Elevate the leg to reduce pressure . Don't massage the leg . Anticoagulant as order ( heparin IN) and analgesics as order .

4. Pulmonary embolism By clot or any foreign mater Signs and Symptoms : Shortness of breath Sharp chest pain . Rapid pulse . Rapid resp . Coughing some times with hemoptysis Hypoxia

Nsg care : Bed rest Sime fowler position to prevent dyspnea . 02 theory as ordered . Checking vital signs . Maintains fluid and electrolyte balance . Control pain with prescribed drugs . Emotional support.

Nursing care of post — operative complication : Hemorrhage : Is excessive blood loss owing to the escape of blood from resells in short period of time . Signs and symptoms : Bleeding from external or internal places . rplus . Hypertension . Thirst . Pale . Cold and moist skin . Rest and anxiety . Rapid respiration. Unconscious .

Nursing care Apply pressure dressing on bleeding site Checking dressing regularly . Check vital signs . Nursing care of pt. on shock . Compensate the blood in-loss . 2.Wound infection . Signs and symptomsRedness Tenderness high of temp . Drainage with bed order . Rapid pulse rate .

Nursing care : Clean and irrigate at the wound Good nutrition and fluid . Strike aseptic techniques in dressing . Be prepared to administer antibiotic . 3. Thrombo phlebitis :Is an inflammation in a vein associated with thrombus (blood clot)

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