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Postoperative Care Guidelines
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Incentive Spirometry
Guiding the patient in the use of an incentive spirometer to improve pulmonary function and prevent atelectasis post-surgery.
Postoperative Nausea and Vomiting (PONV)
Management of PONV with pharmacological and non-pharmacological strategies to improve comfort and prevent aspiration.
Psychosocial Assessment
Assessing the patient's psychosocial state to identify needs for additional support during the postoperative period.
Incision Monitoring
Observing the surgical incision for signs of infection, dehiscence, or other complications, and knowing appropriate interventions.
Sleep Management
Promoting adequate sleep and rest during the postoperative period to aid recovery and decrease stress.
Pain Management
Effective pain control using analgesics, ensuring patient comfort, and making necessary adjustments as pain level changes.
Analgesia Side Effects
Monitoring and managing the side effects of analgesics, such as nausea, constipation, or respiratory depression.
Anticoagulation Therapy
Managing anticoagulation therapy to prevent thromboembolic events, while monitoring for signs of excessive bleeding.
Blood Clot Prevention
Use of anticoagulants, compression garments, and leg exercises to prevent deep vein thrombosis.
Patient Education
Providing comprehensive education to the patient and family about postoperative care, signs of complications, and when to seek medical help.
Respiratory Exercises
Incorporating breathing exercises and incentives spirometry to prevent atelectasis and pneumonia.
Preventing Pressure Ulcers
Regular repositioning, use of pressure-relieving devices, and skin care to prevent pressure ulcers in immobile patients.
Renal Function
Monitoring renal function, including urine output and serum creatinine levels, to ensure kidney health post-surgery.
Mobilization
Early and gradual mobilization to reduce the risk of venous thromboembolism and to promote circulation and wound healing.
Hydration and Nutrition
Ensuring adequate hydration and nutrition to support healing, including monitoring fluid balance and providing a balanced diet.
Drain Management
Careful monitoring and maintenance of surgical drains to prevent infection and facilitate fluid removal.
Medication Adherence
Ensuring the patient follows the prescribed medication schedule for pain relief, infection prevention, and other necessary treatments.
Nutritional Supplements
Use of nutritional supplements to address specific deficiencies and support wound healing, when a balanced diet is not sufficient.
Postoperative Delirium
Monitoring for signs of delirium, particularly in at-risk populations, and implementing interventions to address cognitive changes.
Pulmonary Complication Prevention
Implementation of measures to prevent respiratory complications, such as pneumonia or atelectasis, through breathing exercises and mobilization.
Cardiac Monitoring
Regularly assessing cardiac function and detecting any arrhythmias or ischemia, particularly in patients with a history of cardiac issues.
Maintaining Normothermia
Ensuring the patient's body temperature is kept within normal range to prevent hypothermia and its complications.
Fluid Management
Balancing fluid intake and output to maintain homeostasis, while preventing over or under-hydration.
Wound Care
Proper care of surgical incisions to promote healing and reduce the risk of infection, including regular inspections and dressing changes.
Bowels and Bladder Function
Monitoring and supporting normal bowel and bladder function, including interventions for constipation or urinary retention.
Discharge Planning
Developing a comprehensive discharge plan, including follow-up appointments, home care needs, and medication instructions for the patient.
Monitoring Vital Signs
Regular monitoring of blood pressure, heart rate, temperature, and respiratory rate to detect potential complications early.
Emotional Support and Coping
Providing psychological support and coping strategies to help the patient manage postoperative stress and anxiety.
Infection Prevention
Strategies like maintaining a clean environment, proper wound care, and administration of prophylactic antibiotics to prevent postoperative infections.
Patient Positioning
Appropriate patient positioning to prevent complications such as pressure ulcers, and to promote comfort and function.
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