Kk post operative care

[Group 9]
1st Year 2nd Semester
Kursk State Medical university

1. POST OPERATIVE CARE Keshav Kumar Panwar [Group 9] 1 st Year 2 nd Semester Kursk State Medical university

2. INTRODUCTION The post operative period begins from the time the patient leaves the operating room and ends with the follow up visit by the surgeon.

3. PURPOSES To enable a successful and faster recovery of the patient post operatively. To reduce post operative mortality rate. To reduce the length of hospital stay of the patient. To provide quality care service. To reduce hospital and patient cost during post operative period.

4. S CO PE All the patients who undergoing surgery Responsibility And Authority Registered Nurse

5. POST OPERATIVE CARE UNIT OR POST ANESTHETIC CARE UNIT Patients still under anesthesia or recovering from anesthesia are placed in the unit for observation by highly skilled nurses,anesthetist and surgeon. PACU should be sound proof, painted in soft colour, isolated and these features will help the patient to reduce anxiet y and promote comfort.

6. PHASES OF POST OP UNIT Two phases- Phase I Phase II

7. Phase I It is the immediate recovery phase and requires intensive nursing care To detect early signs of complication. Receive a complete patient record from the operating room which to plan post operative care. It is designated for care of surgical patient immediately after surgery and patient requiring close monitoring.

8. Phase II Care of the surgical patient who has been transferred from the Phase I post op unit. Patient requiring less observation and less nursing care than Phase I This phase is also known as Step down or progressive care unit.

9. NURSING MANAGEMENT IN POST OP UNIT To provide care until the patient has recovered from the effect of anesthesia. Assessing the patient Monitor vitals-pulse volume and regularity, depth and nature of respiration. Assessment of patient’s O2 saturation. Skin colour.

10. KEEP MONITORING VITALS

11. Check the level of consciousness. Ability to respond to commands.

12. MAINTAIN INTAKE AND OUTPUT

13. Protect airway By proper positioning of patient’s head. By clearing airway. Oxygen therapy. Pharyngeal obstruction can occur when the patient lies on the back as there are chances for tongue to fall back .

14. Maintaining IV Stability Replacement of fluids. ( colloids and crystalloids ) Keep the patient warm. Monitor intake and output balance. Monitor the vitals continuously with the patient condition.

15. KEEP THE PATIENT WARM

16. Relieving pain +Anxiety Administer opioid analgesia as per Doctor’s order. Epidural analgesia. Psychological support to relieve fear + To give support.

17. Controlling Nausea+Vomitting These are common problem in post operative period. Medication can be administered as per doctor’s order. Example: Inj Metaclopramide Inj Ondansetron

18. Check list of postoperative care

19. Teaching, Patient Self Care Expected out comes Immediate post operative changes Written instructions like - Wound care, Activity + dietary, recommendation Medications