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when does post op care begin - 🧠 ANSWER ✔✔completion of surgery and
transfer to PACU, ambulatory care or ICU
what is phase 1 of post op? - 🧠 ANSWER ✔✔immediately follows surgery ,
requires ongoing monitor of VS, airway patency, and proof of progress
what is phase 2 of post op? - 🧠 ANSWER ✔✔when transferred to med surg
floor or discharged
phase 3 of post op? - 🧠 ANSWER ✔✔time in acute care, can be at home or
in hospital can be continuous care
,VS can be taken multiple times or only 1x daily
what supplies are typically used in PACU - 🧠 ANSWER ✔✔suctioning
o2
cardiac monitors
capnography
crash carts
What must you have before admission to PACU - 🧠 ANSWER ✔✔a report
from intra operative
what causes an admission into an acute care or extended living facility - 🧠
ANSWER ✔✔unstable VS, poor gas exchange, excessive N/V,
unmanageable alteration in comfort
when can a patient be taken off ventilation? - 🧠 ANSWER ✔✔once they can
hold their head by themselves place them on a CPAP instead
once the pt arrives when does the pacu nurse perform an assessment - 🧠
ANSWER ✔✔immediately
what assessment data must be collected? - 🧠 ANSWER ✔✔LOC, temp,
RR, HR, pulse ox, BP, examination of surgical area for bleeding
,discharge is determined by level of recovery rated from 9-10
what is every post op patient at risk for - 🧠 ANSWER ✔✔shock
pneumonia
cardiac arrest
respiratory arrest
clotting
VTE
GI bleeds
what is indictive of respiratory depression - 🧠 ANSWER ✔✔RR less than 10
what can stridor or snoring indicate - 🧠 ANSWER ✔✔occurs w airway
obstruction and can be from tracheal/laryngeal edema, mucus, or tongue
relaxation
when ... is retained it causes mm weakness that can impair gas exchange -
🧠 ANSWER ✔✔nm blocking agents
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, how often should you assess the lungs - 🧠 ANSWER ✔✔every 4 hours
during the first 24 hours post op and every 8 hrs as indicated
what is the criteria for discharge - 🧠 ANSWER ✔✔LOC, TPR, O2 sat, BP,
Gag reflex
what should be in the hand off report - 🧠 ANSWER ✔✔extent of procedure
type of anesthesia and time the patient was under
allergies
health problems
relavent complications
how were complications managed
VS
I/O
amount of IV or blood product
medication administered
when the next dose of meds are due
language or language impairement