Post operative complications

11,688 views

Published on

Credits to Ma'am Evangeline Teruel

Published in: Health & Medicine, Business
2 Comments
17 Likes
Statistics
Notes
No Downloads
Views
Total views
11,688
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
777
Comments
2
Likes
17
Embeds 0
No embeds

No notes for slide

Post operative complications

  1. 1.  Reasons for applying a surgical drain: 1. To collapse surgical dead space 2. To drain abscess 3. To provide early warning notice of a surgical leak 4. To control an established fistula leak
  2. 2. JP Drain
  3. 3. Penrose DrainNephrostomy Tube
  4. 4. Clear liquid Full liquid Soft dietCoffee Clear liquid PLUS: All CL and FLTea Milk/Milk prod plus:Carbonated Vegetable juices Meatdrink Cream, butter VegetablesBouillon Yogurt FruitsClear fruit juice Puddings Breads andPopsicle Custard cerealsGelatin Ice cream and Pureed foodsHard candy sherbet
  5. 5. Objectives of Postop Care Re-establishment of physiologic equilibrium Prevention of pain and complication
  6. 6. 1.Promotion of respiratory function
  7. 7. 2. Promotecardio-vascular function andtissue perfusion
  8. 8. 3. Promotion of fluid and electrolyte balance
  9. 9. 4. Promotion of nutrition and elimination
  10. 10. 5. Promotion of renal function
  11. 11. 6.Promotion ofcomfort, rest and freedom from pain
  12. 12. 7. Promotion ofwound healing
  13. 13. 8. Promotion ofearly movementand ambulation
  14. 14. 9. Prevention ofpost-operative complications
  15. 15.  CIRCULATORY COMPLICATIONS:a. Shockb. Hemorrhagec. Thrombophlebitis / deep thrombophlebitis PULMONARY COMPLICATIONSa. Atelectasisb. Pneumonia
  16. 16.  URINARY DIFFICULTIESa. Urinary retention GASTROINTESTINAL COMPLICATIONSa. Paralytic ileusb. Gas painc. Intestinal obstructiond. Hiccups
  17. 17.  Fever  1 st 24 - Pulmonary infection  Within 48 - UTI  Within 72 - wound infection
  18. 18. 1. Pneumonia
  19. 19. 2.Atelectasis
  20. 20. 1.2.Hemorrhage
  21. 21. 2.Shock
  22. 22. 3.Thrombophleb itis (7-14days PO)
  23. 23. 1.Woundinfection
  24. 24. 2.WoundDehiscence
  25. 25. inability to void (voiding shouldreturn 6-8hrs PO)
  26. 26. 1. Abdominaldistention orparalytic ileus
  27. 27. 2. Hiccups
  28. 28.  Respiratory  GIT  Atelectasis  Nausea and vomiting  Pneumonia (aspiration,  Constipation hypostatic, infectious)  Ulcer (Cushing’s)  Embolism  Adynamic ileus Cardiovascular  GUT  Hemorrhage-shock  Urinary retention  Cardiac arrest  UTI  DVT  Wound  Thrombophlebitis  Wound infection Musculoskeletal System  Wound dehiscence  Muscle atrophy  Wound evisceration  Contractures  Integumentary  Osteoclast – Fx - ↑Ca  Bed sore Nervous System  Psychologic  Coma  Depression  Paralysis
  29. 29.  Assess readiness for HT Assess the need for home care Wound care Follow up (sutures are removed 7-14 days) Resume normal activities gradually Avoid lifting for 6 weeks (>10 lbs.) Can return to work 6-8 weeks after Teach the s/sx of complications
  30. 30. To emphasize The over-all goal of nursing care during the PRE- OPERATIVE phase is to prepare the patient mentally and physically for the surgery
  31. 31. To emphasizeThe over-all goal of nursing care during the INTRA-OPERATIVE phase is to maintain client safety
  32. 32. To emphasize The over-all goals of nursing care during the POST-OPERATIVE phase are to promote healing and comfort, restore the highest possible wellness and prevent associated risk

×