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Questions and Answers

Quale es le prioritate in le unitate de cura post-anesthesie?

Evaluar le dolore del paciente

Iniciar le terapia de rehabilitation

Facilitar le discharge del paciente

Prevenir complicas post-anesthesie e post-chirurgical (correct)

Le unitate de cura post-anesthesie (PACU) comencia ante le completion de le chirurgie.

False

Quas son le principales focos durante le survey prioritaria post-chirurgical?

L'ariway, le respiration, e le circulatio.

Le PACU es localisate __________ de OR.

adjacent Signup and view all the answers

Associa le considerationes geriatric con le appropriate facto:

Risicos de complicas = Patientes plus vetere es plus susceptibile a complicas postoperative. Motivation pro recuperation = Patientes svantagiares pote haber difficilede reciper. Ajustamento de dosaggio = Le metabolismo de medicamentos cambia con le age. Supporto social = Le systema de supporto es essential pro le recuperation. Signup and view all the answers

Qual es un signo indicativo de obstruzione de via aerea post-operatoria?

Difficultate de respirar Signup and view all the answers

Osteoporosis non es un consideration in geriatrica in chirurgia.

False Signup and view all the answers

Quot es le temperatura de Grace post-operatorie?

36.5°C Signup and view all the answers

Le __________ es un medicamento prescripte pro le tratamiento de refluxo gastroesophageal.

Ranitidine Signup and view all the answers

Associa le conditiones medical con le consideraciones appropriate:

Osteoporosis = Increased risk of fractures during surgery Type 2 diabetes = Risk of delayed wound healing Gastroesophageal Reflux Disease = Consider diet pre-surgery Smoking = Higher risk of respiratory complications Signup and view all the answers

Qual es un complication potential post-operatorie pro pacientes geriatrics?

Infection Signup and view all the answers

Grace ha un familare qui vive prope e le pote visitar la post-chirurgia.

False Signup and view all the answers

Quot es le pulsus de Grace post-operatorie?

87 bpm Signup and view all the answers

Le __________ es le hora programmato pro le operation de Grace.

0700 hrs Signup and view all the answers

Qual es un criterio de discharge ad considerar post-operatorie?

Stable vital sign Signup and view all the answers

Quale de le sequente es un causa de obstruction de le vias respiratorii?

Lingua de patient Signup and view all the answers

Postoperative delirium es plus commun in pacientes juvenes.

False Signup and view all the answers

Quales sono le complicationes postoperative communs?

Respiratory, cardiovascular, fluid and electrolyte, neuropsychological, integumentary, gastrointestinal, urinary. Signup and view all the answers

Un patient debe essere _ e _ pro essere discharge de PACU.

mobile, alert Signup and view all the answers

Associa le considerationes de patient ancian con le aspectos pertinent:

Medication toxicity = Problemas con medicamentos Mental status changes = Alteration del stato mental Pain control = Gestion del dolore Postoperative delirium = Confusion acute Signup and view all the answers

Quale es un criterio pro discharge post-anesthesia?

Il es mobile e alert Signup and view all the answers

Le discharge instructions non debe esser date in forma scritta.

False Signup and view all the answers

Study Notes

Airway Obstruction

Airway obstruction is a serious medical condition.
Occurs when something blocks the airway
Patient’s tongue can cause airway obstruction, especially after anaesthesia
It can be caused by relaxation of muscles in the throat, which causes the tongue to fall back and block the airway.
Can lead to respiratory distress.

Postoperative Complications

Common postoperative complications include respiratory, cardiovascular, fluid and electrolyte, neuropsychological, integumentary, gastrointestinal and urinary issues.

Considerations for Older Postoperative Patients

Decreased respiratory function
Altered vascular function
Medication toxicity
Mental status changes
- Postoperative delirium (acute confusion) is more common in older people.
Pain control

Discharge Systems

Discharge systems are used to assess the patient's readiness for discharge.

Discharge Criteria from PACU

Patient must be mobile and alert
Patient cannot drive.
No intravenous opioids in last 30 minutes
Minimal nausea and vomiting
Postanaesthesia discharge scoring system (PADSS) can be used to determine readiness for discharge.
Voided if appropriate to the surgical procedure.
Written discharge instructions provided and understood.

Discharge Criteria for Day Surgery

Patient must be mobile and alert
Patient cannot drive - a responsible adult must be present.
No intravenous opioids in the past 30 minutes
Minimal nausea and vomiting
Postanaesthesia discharge scoring system (PADSS) can be used to determine readiness for discharge.
Voided if appropriate to the surgical procedure.
Written discharge instructions provided and understood.

Postoperative Information for Grace Kim

Grace Kim is a 72-year-old retired teacher
Grace was brought to the hospital by ambulance after a fall.
She sustained a left fractured neck of femur (#NOF).
She is scheduled for surgery.
Her current vital signs are:
- Temperature – 36.2°C
- Blood Pressure – 138/92
- Heart Rate – 113
- Respiratory Rate – 20
- Oxygen Saturation – 98% Room Air, Glasgow Coma Scale = 15; PEARTL
On Examination: Grace's left leg is internally rotated, and bruising is noted on her left hip and buttocks
Grace has a past history of osteoporosis (left hip and cervical spine), Gastroesophageal Reflux Disease (GORD), smoker (approximately 20 cigarettes/day) and Type 2 diabetes.
Grace has a family history of osteoporosis, Peptic Ulcer Disease (PUD) (mother); and T2DM (father).
Grace’s current medications include: Caltrate 1200 mg/d; Ranitidine 150mg/d; Paracetamol 1g PRN
Grace is a widower and lives alone.
She has an adult daughter who lives interstate.
Grace has a close network of friends.

Grace Kim's Postoperative Information

After surgery, Grace is transferred to Post Anaesthesia Care Unit (PACU)
She is drowsy but rousable.
Her vital signs are:
- Temperature – 36.5
- Blood Pressure – 115/65mmHg
- Heart Rate – 87bpm
- Respiratory Rate – 16bpm
- Oxygen Saturation – 98% (6L via Hudson Mask)

Post Anaesthesia Care Unit (PACU)

It begins immediately upon completion of surgery.
PACU is located adjacent to the operating room (OR).
Priority is protecting the patient and preventing post-anesthesia and post-surgical complications.