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The post operative phase
Begins with the admission of the patient to the recovery area and ends with a follow up evaluation in a clinical setting or at home
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What are 2 things that PACU monitors after surgery
- anesthesia complications
- surgery complication
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vital signs are assessed on a post op patient. Which vital sign is most important
Respiratory rate, depth, and rhythm
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A low respiratory rate may indicate
anesthetic- or opioidanalgesic–induced depression
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Rapid, shallow respirations may indicate
signal shock, cardiac problems, increased metabolic rate, or pain.
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what is the typical IV fluid administered after anesthesia
D5 .45% NSS
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When should the nurse report an abnormally low urine output
less than 30 cc/ hour
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What is the treatment for pts with nausea and vomiting after surgery
- side-lying, HOB up position
- antiemetic medications to be given
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Who performs the first dressing change?
the physician
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What is the post op progressive diet
NPO to liquids to soft to house meals
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During the post op period, what conditions do all pts remain at risk for?
pneumonia, shock, cardiac arrest, respiratory arrest, deep vein thrombosis, and GI bleeding
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When a pt is admitted to the PACU, what is the first thing that needs to be assessed?
- patent airway
- adequate gas exchange
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The pulse ox should be above what percentage?
95%
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What isotonic solutions are used to promote fluid replacement in the PACU
- lactated Ringer's (LR),
- 0.9% saline
- 5% dextrose with lactated Ringer's (D5/LR)
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