Post-Operative Wound Care: Drain and Suture Removal

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Where are vesicular sounds typically heard?

All lung areas except major bronchi

What is the characteristic of bronchovesicular sounds in terms of pitch and intensity?

Medium pitch and intensity

What is the ratio of inspiration to expiration in bronchial sounds?

2:3

What is the primary manifestation of hypoxia?

Apprehensive, restless, or confused state Signup and view all the answers

What is the primary goal of preoperative teaching?

Increase patient satisfaction and compliance, decrease anxiety Signup and view all the answers

What is the result of air in the pleural space?

Partial or complete collapse of the lung Signup and view all the answers

What are the key components of general preoperative preparation?

Patient education, identification and documentation of surgical site, identification and documentation of tests, verification of signed informed consent, and confirmation of all preparations complete Signup and view all the answers

What is the primary goal of management of hypoxia?

Assessment and establishment of airway and breathing Signup and view all the answers

What are some aspects of postoperative care?

Stabilizing the patient, convalescent phase, and complete assessment Signup and view all the answers

Who is responsible for obtaining consent for surgery?

The surgeon Signup and view all the answers

What are some special preparations that may be required for certain patients?

Bowel prep, diabetic patient preparations, and implantable devices Signup and view all the answers

What are some aspects of patient education in preoperative preparation?

Discuss and explain pre- and post-operative care, analgesia, IV therapy, wound drains, nutrition, elimination, and bed rest Signup and view all the answers

What is the primary purpose of using wound drainage systems in surgical wounds?

To remove fluid collection and promote tissue approximation, while preventing potential microorganism growth Signup and view all the answers

When are drains typically removed from surgical wounds?

When there is minimal or no drainage, and the surgeon has documented the order Signup and view all the answers

What is the primary function of sutures, staples, or clips in wound care?

To keep wound edges together and provide mechanical support Signup and view all the answers

Why is preoperative care important for patients undergoing surgery?

To prepare patients, reduce anxiety, and promote self-care, leading to a shorter recovery period Signup and view all the answers

What is the relationship between preoperative anxiety and postoperative outcomes?

Preoperative anxiety is predictive of postoperative anxiety, pain, and depression Signup and view all the answers

How long do sutures, staples, or clips typically remain in place after surgery?

Usually 5-10 days Signup and view all the answers

What is the primary mechanism that helps to compensate for increased intracranial pressure?

Displacement of CSF to the spinal subarachnoid space, compression of the low-pressure venous system, decreased CSF production, and vasoconstriction of the cerebral vasculature. Signup and view all the answers

What percentage of cardiac output is dedicated to cerebral blood flow in adults?

20% Signup and view all the answers

What is the normal cerebral blood flow rate in adults?

750mLs/min Signup and view all the answers

What is the potential effect of hyperthermia on the brain?

Possible hypothalamus damage, increased O2 requirements, and increased cerebral hypoxia. Signup and view all the answers

What is the term for the elevated systolic blood pressure, bradycardia, and irregular respirations seen in response to increased intracranial pressure?

Cushing's triad or response. Signup and view all the answers

What is the purpose of using pH indicator strips in a kidney dish during the placement of an NGT?

To measure the acidity of the stomach contents to verify correct placement of the NGT. Signup and view all the answers

What is the purpose of the 50mL syringe (oral) in the placement of an NGT?

To remove a small amount of gastric content to test for pH using the pH indicator strips. Signup and view all the answers

What is the purpose of the tongue blade and penlight during the insertion of an NGT?

To visually determine the position of the tube in the oropharynx during insertion. Signup and view all the answers

What is the purpose of the Low-suction Apparatus during the placement of an NGT?

To apply suction to decompress the stomach and remove excess fluids and gas without damaging the intestinal mucosa. Signup and view all the answers

What is required before applying suction to an NGT?

A doctor's order. Signup and view all the answers

When can feeding commence through the NGT?

Only when the position of the NGT is confirmed. Signup and view all the answers