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

2. 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

3. 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 .

4. 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 .

5. 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. 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 .

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

8. 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 .

9. 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 .

10. 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

11. 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.

12. 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 .

13. 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 .

14. 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)

15. Thank you