chapter 19 nursing management: postoperative care copyright © 2004, 2000, mosby, inc. all rights...
TRANSCRIPT
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
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Cardiovascular ComplicationsCardiovascular 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 Potential Alterations in Neurologic Functionin Neurologic Function
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Neurologic ComplicationsNeurologic 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.)
• Pain and DiscomfortPain and Discomfort
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management: PainNursing Management: Pain
• 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.)
• HypothermiaHypothermia
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management: Nursing Management: HypothermiaHypothermia
• 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.)
• Nausea and VomitingNausea and Vomiting
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Nausea and VomitingNausea and Vomiting
• 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.)
• 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
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
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
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
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}
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
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
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Urinary ComplicationsUrinary Complications
• Nursing AssessmentNursing Assessment
• Nursing DiagnosesNursing Diagnoses
• Nursing ImplementationNursing Implementation
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 Gastrointestinal FunctionGastrointestinal Function
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Gastrointestinal ComplicationsGastrointestinal Complications
• Nursing AssessmentNursing Assessment
• Nursing DiagnosesNursing Diagnoses
• Nursing ImplementationNursing Implementation
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 Potential Alterations
of the Integumentof the Integument
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Surgical WoundsSurgical Wounds
• Nursing AssessmentNursing Assessment
• Nursing DiagnosesNursing Diagnoses
• Nursing Nursing ImplementationImplementation
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.)
• Pain and DiscomfortPain and Discomfort
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management: PainNursing Management: Pain
• Nursing AssessmentNursing Assessment
• Nursing DiagnosesNursing Diagnoses
• Nursing ImplementationNursing Implementation
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
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
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Altered TemperatureAltered Temperature
• Nursing AssessmentNursing Assessment
• Nursing DiagnosesNursing Diagnoses
• Nursing ImplementationNursing Implementation
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 Potential Alterations in Psychologic Functionin Psychologic Function
– EtiologyEtiology
Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.
Nursing Management:Nursing Management:Psychologic FunctionPsychologic Function
• Nursing DiagnosesNursing Diagnoses
• Nursing ImplementationNursing Implementation
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.)
• Planning for Discharge Planning for Discharge and Follow-Up Careand Follow-Up Care