Podcast
Questions and Answers
Quale es le prioritate in le unitate de cura post-anesthesie?
Quale es le prioritate in le unitate de cura post-anesthesie?
Le unitate de cura post-anesthesie (PACU) comencia ante le completion de le chirurgie.
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?
Quas son le principales focos durante le survey prioritaria post-chirurgical?
L'ariway, le respiration, e le circulatio.
Le PACU es localisate __________ de OR.
Le PACU es localisate __________ de OR.
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Associa le considerationes geriatric con le appropriate facto:
Associa le considerationes geriatric con le appropriate facto:
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Qual es un signo indicativo de obstruzione de via aerea post-operatoria?
Qual es un signo indicativo de obstruzione de via aerea post-operatoria?
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Osteoporosis non es un consideration in geriatrica in chirurgia.
Osteoporosis non es un consideration in geriatrica in chirurgia.
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Quot es le temperatura de Grace post-operatorie?
Quot es le temperatura de Grace post-operatorie?
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Le __________ es un medicamento prescripte pro le tratamiento de refluxo gastroesophageal.
Le __________ es un medicamento prescripte pro le tratamiento de refluxo gastroesophageal.
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Associa le conditiones medical con le consideraciones appropriate:
Associa le conditiones medical con le consideraciones appropriate:
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Qual es un complication potential post-operatorie pro pacientes geriatrics?
Qual es un complication potential post-operatorie pro pacientes geriatrics?
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Grace ha un familare qui vive prope e le pote visitar la post-chirurgia.
Grace ha un familare qui vive prope e le pote visitar la post-chirurgia.
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Quot es le pulsus de Grace post-operatorie?
Quot es le pulsus de Grace post-operatorie?
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Le __________ es le hora programmato pro le operation de Grace.
Le __________ es le hora programmato pro le operation de Grace.
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Qual es un criterio de discharge ad considerar post-operatorie?
Qual es un criterio de discharge ad considerar post-operatorie?
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Quale de le sequente es un causa de obstruction de le vias respiratorii?
Quale de le sequente es un causa de obstruction de le vias respiratorii?
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Postoperative delirium es plus commun in pacientes juvenes.
Postoperative delirium es plus commun in pacientes juvenes.
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Quales sono le complicationes postoperative communs?
Quales sono le complicationes postoperative communs?
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Un patient debe essere _______ e _______ pro essere discharge de PACU.
Un patient debe essere _______ e _______ pro essere discharge de PACU.
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Associa le considerationes de patient ancian con le aspectos pertinent:
Associa le considerationes de patient ancian con le aspectos pertinent:
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Quale es un criterio pro discharge post-anesthesia?
Quale es un criterio pro discharge post-anesthesia?
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Le discharge instructions non debe esser date in forma scritta.
Le discharge instructions non debe esser date in forma scritta.
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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.
Nursing Role in PACU
- Primary survey
- Head to toe assessment
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