chapter 19 nursing management: postoperative care copyright © 2004, 2000, mosby, inc. all rights...

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Chapter 19 Chapter 19 Nursing Management: Nursing Management: Postoperative Care Postoperative Care Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

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Chapter 19Chapter 19

Nursing Management:Nursing Management:Postoperative CarePostoperative Care

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Postoperative Care in the Postoperative Care in the Postanesthesia Care UnitPostanesthesia Care Unit

• PACU AdmissionPACU Admission

– Fast TrackingFast Tracking

– Initial AssessmentInitial Assessment

• Potential Alterations in Potential Alterations in Respiratory FunctionRespiratory Function

– EtiologyEtiology

{Insert Figures 19-1 and 19-2 from the {Insert Figures 19-1 and 19-2 from the Online Image Collection Online Image Collection here}here}

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Nursing Management:Nursing Management:Respiratory ComplicationsRespiratory Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• Potential Alterations in Potential Alterations in Cardiovascular FunctionCardiovascular Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Cardiovascular ComplicationsCardiovascular Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• Potential Alterations Potential Alterations in Neurologic Functionin Neurologic Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Neurologic ComplicationsNeurologic Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• Pain and DiscomfortPain and Discomfort

– EtiologyEtiology

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Nursing Management: PainNursing Management: Pain

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• HypothermiaHypothermia

– EtiologyEtiology

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Nursing Management: Nursing Management: HypothermiaHypothermia

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• Nausea and VomitingNausea and Vomiting

– EtiologyEtiology

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Nursing Management:Nursing Management:Nausea and VomitingNausea and Vomiting

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Postoperative Care in the Postoperative Care in the Postanesthesia Care Unit (cont.)Postanesthesia Care Unit (cont.)

• Surgical-Specific Care of Surgical-Specific Care of the Patient in the PACUthe Patient in the PACU

• Discharge from the PACUDischarge from the PACU

– Ambulatory Surgery DischargeAmbulatory Surgery Discharge

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Care of the Postoperative Care of the Postoperative Patient on the Clinical UnitPatient on the Clinical Unit

• Potential Alterations in Potential Alterations in

Respiratory FunctionRespiratory Function

– EtiologyEtiology

{Insert Figure 19-4 from the {Insert Figure 19-4 from the Online Image CollectionOnline Image Collection here} here}

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Nursing Management:Nursing Management:Respiratory ComplicationsRespiratory Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

{Insert Figure 19-5 from the {Insert Figure 19-5 from the Online Image CollectionOnline Image Collection here} here}

Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations in Potential Alterations in Cardiovascular FunctionCardiovascular Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Cardiovascular ComplicationsCardiovascular Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

{Insert Figure 19-6 from the {Insert Figure 19-6 from the Online Image CollectionOnline Image Collection here} here}

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Care of the Postoperative Patient Care of the Postoperative Patient on the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations Potential Alterations

in Urinary Functionin Urinary Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Urinary ComplicationsUrinary Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations in Potential Alterations in Gastrointestinal FunctionGastrointestinal Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Gastrointestinal ComplicationsGastrointestinal Complications

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations Potential Alterations

of the Integumentof the Integument

– EtiologyEtiology

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Nursing Management:Nursing Management:Surgical WoundsSurgical Wounds

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing Nursing ImplementationImplementation

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Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Pain and DiscomfortPain and Discomfort

– EtiologyEtiology

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Nursing Management: PainNursing Management: Pain

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Care of the Postoperative Patient Care of the Postoperative Patient on the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations Potential Alterations

in Temperaturein Temperature

– EtiologyEtiology

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Nursing Management:Nursing Management:Altered TemperatureAltered Temperature

• Nursing AssessmentNursing Assessment

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Potential Alterations Potential Alterations in Psychologic Functionin Psychologic Function

– EtiologyEtiology

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Nursing Management:Nursing Management:Psychologic FunctionPsychologic Function

• Nursing DiagnosesNursing Diagnoses

• Nursing ImplementationNursing Implementation

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Care of the Postoperative PatientCare of the Postoperative Patienton the Clinical Unit (cont.)on the Clinical Unit (cont.)

• Planning for Discharge Planning for Discharge and Follow-Up Careand Follow-Up Care

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Gerontologic Considerations:Gerontologic Considerations:Postoperative PatientPostoperative Patient