1. Chapter 19 Nursing Management: Postoperative Care Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

2. Postoperative Care in the Postanesthesia Care Unit PACU AdmissionPACU Admission –Fast Tracking –Initial Assessment Potential Alterations in Respiratory FunctionPotential Alterations in Respiratory Function –Etiology {Insert Figures 19-1 and 19-2 from the Online Image Collection here}

3. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Respiratory Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

4. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) Potential Alterations in Cardiovascular FunctionPotential Alterations in Cardiovascular Function –Etiology

5. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Cardiovascular Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

6. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) Potential Alterations in Neurologic FunctionPotential Alterations in Neurologic Function –Etiology

7. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Neurologic Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

8. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) Pain and DiscomfortPain and Discomfort –Etiology

9. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Pain Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

10. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) HypothermiaHypothermia –Etiology

11. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Hypothermia Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

12. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) Nausea and VomitingNausea and Vomiting –Etiology

13. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Nausea and Vomiting Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

14. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Postoperative Care in the Postanesthesia Care Unit (cont.) Surgical-Specific Care of the Patient in the PACUSurgical-Specific Care of the Patient in the PACU Discharge from the PACUDischarge from the PACU –Ambulatory Surgery Discharge

15. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit Potential Alterations in Respiratory FunctionPotential Alterations in Respiratory Function –Etiology {Insert Figure 19-4 from the Online Image Collection here}

16. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Respiratory Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation {Insert Figure 19-5 from the Online Image Collection here}

17. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations in Cardiovascular FunctionPotential Alterations in Cardiovascular Function –Etiology

18. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Cardiovascular Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation {Insert Figure 19-6 from the Online Image Collection here}

19. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations in Urinary FunctionPotential Alterations in Urinary Function –Etiology

20. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Urinary Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

21. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations in Gastrointestinal FunctionPotential Alterations in Gastrointestinal Function –Etiology

22. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Gastrointestinal Complications Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

23. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations of the IntegumentPotential Alterations of the Integument –Etiology

24. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Surgical Wounds Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

25. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Pain and DiscomfortPain and Discomfort –Etiology

26. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Pain Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

27. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations in TemperaturePotential Alterations in Temperature –Etiology

28. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Altered Temperature Nursing AssessmentNursing Assessment Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

29. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Potential Alterations in Psychologic FunctionPotential Alterations in Psychologic Function –Etiology

30. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Psychologic Function Nursing DiagnosesNursing Diagnoses Nursing ImplementationNursing Implementation

31. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Care of the Postoperative Patient on the Clinical Unit (cont.) Planning for Discharge and Follow-Up CarePlanning for Discharge and Follow-Up Care

32. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Gerontologic Considerations: Postoperative Patient