Scribd Logo
Upload

Welcome to Scribd!

  • 431 views

    Post-Operative Care

    Uploaded by

    Jorem Loryn Linzo
    The document provides guidance on postoperative care and pain management. It recommends monitoring vital signs, fluid intake and output, medications, and complications after surgery. It emphasizes the importance of early mobilization, adequate nutrition, preventing pressure sores, and providing pain control. It also stresses the importance of documenting the patient's diagnosis, hospital course, and discharge instructions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Post-Operative Care

    Uploaded by

    Jorem Loryn Linzo
    431 views3 pages
    The document provides guidance on postoperative care and pain management. It recommends monitoring vital signs, fluid intake and output, medications, and complications after surgery. It emphasizes the importance of early mobilization, adequate nutrition, preventing pressure sores, and providing pain control. It also stresses the importance of documenting the patient's diagnosis, hospital course, and discharge instructions.

    Original Description:

    for management of post-op

    Original Title

    Post-operative care

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document provides guidance on postoperative care and pain management. It recommends monitoring vital signs, fluid intake and output, medications, and complications after surgery. It emphasizes the importance of early mobilization, adequate nutrition, preventing pressure sores, and providing pain control. It also stresses the importance of documenting the patient's diagnosis, hospital course, and discharge instructions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    431 views3 pages

    Post-Operative Care

    Uploaded by

    Jorem Loryn Linzo
    The document provides guidance on postoperative care and pain management. It recommends monitoring vital signs, fluid intake and output, medications, and complications after surgery. It emphasizes the importance of early mobilization, adequate nutrition, preventing pressure sores, and providing pain control. It also stresses the importance of documenting the patient's diagnosis, hospital course, and discharge instructions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3
    At a glance
    Powered by AI
    The key takeaways from the passage are proper postoperative care including monitoring vital signs and outputs, encouraging early mobilization to prevent complications, ensuring adequate pain management and nutrition, and documenting discharge instructions.

    Important considerations for postoperative care in the ward include monitoring the patient's medical and nursing observations, wound site, for any complications or changes in treatment, encouraging early mobilization and mobility exercises, ensuring adequate nutrition, and preventing skin breakdown and pressure sores through frequent repositioning and keeping the skin clean and dry.

    Techniques for managing postoperative pain discussed are the use of injectable opiate analgesics like morphine and pethidine, as well as oral or rectal nonsteroidal anti-inflammatory drugs (NSAIDs) like diclofenac and ibuprofen or paracetamol. Opiates may be given preoperatively, intraoperatively or postoperatively for pain management.

    Postoperative care

    Post operative note and orders


    The patient should be discharged to the ward with comprehensive orders for the following: Vital signs Pain control Rate and type of intravenous fluid Urine and gastrointestinal fluid output Other medications Laboratory investigations The patients progress should be monitored and should include at least: A comment on medical and nursing observations A specific comment on the wound or operation site Any complications Any changes made in treatment

    Aftercare: Prevention of complications


    Encourage early mobilization: o Deep breathing and coughing o Active daily exercise o Joint range of motion o Muscular strengthening o Make walking aids such as canes, crutches and walkers available and provide instructions for their use Ensure adequate nutrition Prevent skin breakdown and pressure sores: o Turn the patient frequently o Keep urine and faeces off skin Provide adequate pain control

    Discharge note
    On discharging the patient from the ward, record in the notes: Diagnosis on admission and discharge Summary of course in hospital Instructions about further management, including drugs prescribed. Ensure that a copy of this information is given to the patient, together with details of any follow-up appointment

    WHO/EHT/CPR: WHO Surgical Care at the District Hospital 2003

    Postoperative Management
    If the patient is restless, something is wrong.
    Look out for the following in recovery: Airway obstruction Hypoxia Haemorrhage: internal or external Hypotension and/or hypertension Postoperative pain Shivering, hypothermia Vomiting, aspiration Falling on the floor Residual narcosis

    The recovering patient is fit for the ward when: Awake, opens eyes Extubated Blood pressure and pulse are satisfactory Can lift head on command Not hypoxic Breathing quietly and comfortably Appropriate analgesia has been prescribed and is safely established

    WHO/EHT/CPR: WHO Surgical Care at the District Hospital 2003

    Post operative pain relief


    Pain is often the patients presenting symptom. It can provide useful clinical information and it is your responsibility to use this information to help the patient and alleviate suffering. Manage pain wherever you see patients (emergency, operating room and on the ward) and anticipate their needs for pain management after surgery and discharge. Do not unnecessarily delay the treatment of pain; for example, do not transport a patient without analgesia simply so that the next practitioner can appreciate how much pain the person is experiencing.

    Pain management is our job.

    Pain Management and Techniques


    Effective analgesia is an essential part of postoperative management. Important injectable drugs for pain are the opiate analgesics. Nonsteroidal antiinflammatory drugs (NSAIDs), such as diclofenac (1 mg/kg) and ibuprofen can also be given orally and rectally, as can paracetamol (15 mg/kg). There are three situations where an opiate might be given: o Preoperatively o Intraoperatively o Postoperatively Opiate premedication is rarely indicated, although an injured patient in pain may have been given an opiate before coming to the operating room. Opiates given pre- or intraoperatively have important effects in the postoperative period since there may be delayed recovery and respiratory depression, even necessitating mechanical ventilation. Short acting opiate fentanyl is used intra-operatively to avoid this prolonged effect. Naloxone antagonizes (reverses) all opiates, but its effect quickly wears off. Commonly available inexpensive opiates are pethidine and morphine. Morphine has about ten times the potency and a longer duration of action than pethidine. (continued next page)

    WHO/EHT/CPR: WHO Surgical Care at the District Hospital 2003

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy