University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

368

Pages:

2
Author:

Mariam A. A.

Postoperative Care The surgical stress response has three components: • • • SNS Endocrine response with pituitary hormone secretion and insulin resistance Immunological and haematological changing including cytokine production, acute phase reaction, neutrophil leucocytosis and lymphocyte infiltration. The postop ward rounds. • • • • • • • • • A-airway B-breathing C-circulating - Think about organ and limb perfusion. D- DVT, drug and diet - Patients will need to be on DVT prophylaxis. E- exposure, wounds and lines F-fever, fluids and lines G- glucose and gut H- history I- information – review to chart, talk to the nurses and patient’s family Principles • • • • • • • • Assess ABC including obs Fluid status and electrolyte management Assessment and management of pain DVT prophylaxis including mobilisation. Diet and bowl function (ileus) Drains Chart review Early identification of complications. When a patient has an abdominal surgery and a cut there, they will have compromised ventilation, because when they breathe, the diaphragm will contract, increase abdominal pressure and cause further abdominal pain -> need to pick up on that on early, as it could cause complications such as respiratpry failure and hospital acquired pneumonia. UO 0.5ml per kg of weight. Not calculating this correct, could lead to giving the patient fluids more than they need, or giving them fluids when they in reality they do not need any -> this will cause them to get excessive fluid and at a pace that is too fast, this can lead to a medical emergency where a MET team, will need to be involved. This is especially, the case, if the patient has cardiac or renal failure. I