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In coordination of
Sheyryl and Sethlog
Post-operative Phase
Begins with the admission of the client to the PACU
and ends when healing is complete
Post-operative interventions
PAIN MANAGEMENT
Pain is usually greatest during the 12-36 hours after
surgery
Narcotic analgesics and NSAIDS may be prescribed
together for the early period of surgery
Provide back rub, massage, diversional activities,
position changes
POSITIONING
Post-operative Interventions
Some Examples of Position Post Op
Post-operative Interventions
Hydration after NPO" to maintain fluid balance
Suction, either gastro or respiratory" to relieve
distention, to remove respiratory secretions
Diet"progressive, usually given when bowel sounds
and gag reflex return
Wound Care
Inspect dressing hourly
Change dressing as needed
Inspect for signs of infection" redness, swelling,
purulent exudate
Maintain wound drainage
Post operative complications
Atelectasis Collapsed • Assess breath
alveoli due sounds
to secretions • Repositioning
• Deep breathing
Pneumonia Inflammation and coughing
of alveoli • Chest physio
• Suctioning
• Ambulation
Thrombophlebitis Inflammation • Leg exercises
of the veins • Monitor for
swelling
• Elevated
extremities
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
Gerontologic Considerations
Elderly patients are at greater risk for postoperative
complications due to decreased homeostatic mechanisms
and physiologic reserve to deal with stresses.
Monitor carefully and frequently.
Increased likelihood of postoperative confusion and
delirium
Assess confusion carefully to exclude causes such as
hypoxia, pain, hypotension, hypoglycemia, and fluid loss.
Assess need for and doses of medications carefully.
Ensure adequate hydration.
Reorient as needed.
Assessment for Postoperative Complications
Do frequent VS. Initially assess every 15 minutes or
according to protocols. Monitor at least every 4 hours for
the first 24 hours postop.
Assess airway and respirations; patient is at risk for
ineffective airway clearance.
Assess VS and other indicators of cardiovascular status;
patients are at risk for decreased cardiac output related to
shock or hemorrhage.
Assess pain.