MANAGEMENT (PACU) EXAM 2 WITH
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ANSWERS
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1 of 63
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What should you assess for in gastrointestinal complications?
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evaluate respiratory function because hypoxemia is the most common cause of
post-op agitation. reorient, hydration, reassess doses of meds, exclude all
other causes of confusion.
NPO, nasogastric tube, antiemetic, early and frequent ambulation to prevent
abdominal distention and relieve sharp gas pains. encourage patient to expel
flatus. stool softeners/suppositories prn. position on right side.
used to determine the appropriate close of new medication when it is necessary
to change the route of a patients pain med. examples of this included a patient
,who is on IV meds, but must be converted to orals. developed side effects
to one narcotic, and must be switched to another.
, Auscultate abdomen in all four quadrants for presence, frequency, and
characteristics of bowel sounds. can be absent or diminished in immediate
postoperative period. return of bowel motility accompanied by flatus.
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2 of 63
Term
When does PONV occur?
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dehydration, male gender, smokers, underweight, short surgery < 1hr, orthopedic
surgery, no prior history PONV, history of vertigo.
anesthesia, gender:female, non-smokers, obese, lengthy surgery > 2hrs,
type of surgery ex. eyes, ear, abdominal gynecologic. prior history PONV,
history of motion sickness.
anemia, elderly, non-smokers, normal weight, routine surgery < 30 mins, dental
surgery, history of nausea, history of motion sickness.
infection, young adults, smokers, obese, minor surgery < 15 mins, eye surgery,
prior history of dizziness, history of seasickness.
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, 3 of 63
Term
what is a paralytic ileus postoperatively?
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increase bowel sounds, frequent decrease bowel sounds,
stool, abdominal pain, bloating, no stool or flatus, nausea,
diarrhea. vomiting, abd distention,
abd tenderness.
active bowel sounds, soft normal bowel sounds, regular flatus,
stool, abdominal discomfort, abdominal tenderness, constipation.
gas relief.
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4 of 63
Term
When can you remove the oral airway?
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airway until gag reflex is ok.
position, suction, cough/deep
when gag reflex returns breathe, o2, mechanical support,
check breath sounds, prevent
aspirations.