Care of the Post-Surgical Patient. Preparing for the Postoperative Client on the Surgical Unit. Furniture arranged so gurney can fit into room Bed -high position Bedrails -down Equipment available: Sphygmomanometer, stethoscope, and thermometer Emesis basin
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Care of the Post-Surgical Patient
-decreased muscle tone
-palpitation and observation
-hematoma at the surgery site
-reaction to the anesthesia.
-area under the patient.
-wounds will have sanguineous or
Atelectasis:a collapse of the alveoli with retained mucous secretions is the most common postoperative complication and usually occurs 1 to 2 days after the surgical procedure
Deep Vein Thrombosis (DVT)
-Passive and active range of motion
- every 2 hours if the client is on bedrest
- avoid dangling the legs – leaving dependant - no sitting in one position for an extended period of time
-Low Molecular Weight Heparin (Lovenox,
-every 2 hours during the first post-op day
-usually peaks on second post-op day)
-revise as needed
around the clock to achieve a steady-state
-Redness or inflammation of the skin or mucous membranes
-resulting from dilation and congestion of superficial capillaries
-Abnormal accumulation of fluids in interstitial spaces of tissues
-Very warm to touch
-Complex, abstract, personal experience; an unpleasant
-Debris from bacterial invasion
Loss of function
-Body’s effort to rest the injured area
-intense metabolic workload
-release of stress hormones such as cortisol and
-rapid loss of lean body mass
-protects lean muscle mass
-supplies the healing body with necessary
-slows wound healing
-increases susceptibility to infection
-longer hospital stays
-increases mortality and morbidity.
How could communication be improved?
change the dressing
-resume normal activities gradually
-avoid pushing-pulling activities