Homework Answers
Post anesthesia care unit is an essential component in taking care of the patients recovering after a surgical procedure. Basic procedures done on the PACU includes maintaining patent airway, administering oxygen therapy, monitoring of vital signs includes temperature, pulse,respiration, and blood pressure, check for hemodynamic monitoring, surgical site infections, monitoring for bleeding. To manage any life threatening situations occurs secondary to surgical procedure that includes pneumothorax, pulmonary edema,respiratory arrest.
Postoperative anesthesia nurse care for the patients who need postoperative care after surgical procedure. Hand over from the PACU nurse includes the following:
- identification of patient, time and name of surgery, reason for surgery, type of anesthesia given, immediate postoperative complications, vitals, any restriction of movement, position to be maintained postoperatively, catheters inserted and fluid management,postoperative medications, intravenous fluid management.
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1. What information should you receive from the post-anesthesia care unit (PACU) nurse?
Location: Post-anesthesia care unit (PACU) Susan’s surgery is completed and she is transferred to Post Anesthesia...
Location: Post-anesthesia care unit (PACU) Susan’s surgery is completed and she is transferred to Post Anesthesia Care Unit ( PACU). Below is your assessment of Susan: Drowsy but arousable VS: 97.2, 76, 14, 120/76 Pulse ox 94 % on face mask at 40% Skin cool and pale Normal sinus rhythm Abdominal dressing midline clean and dry. Absent bowel sounds NGT to low intermittent suction/brown-green drainage Foley catheter draining clear yellow urine IV: 1000 Lactated Ringers 100ml/hr Insulin drip of regular...
Mr. Ellis returns from the Post Anesthesia Care Unit (PACU) after his surgical procedure. He has an Ⅳof LR infusing...
Mr. Ellis returns from the Post Anesthesia Care Unit (PACU) after his surgical procedure. He has an Ⅳof LR infusing at 125 mL hr O2 at 2 L/min per nasal cannula, and an indwelling 1. catheter attached to a drainage bag. Four hours later, the nurse documents Mr. Elis ntake/output. The LR solution has been running for 4 hours, and the nurse administers and IV antibiotic that runs in 150 mL of normal saline. Mr. Ellis is still NPO after...
Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair...
Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post- operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN...
424. You are the nurse caring for 82 year old women in the PACU. The woman...
424. You are the nurse caring for 82 year old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless and agitated. What are you aware of? A. Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery. B. Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time C. Postoperative confusion is common in the elderly, but it could also indicate a significant...
1. What is the Pre-Operative Phase A. What essential Data should the Nurse Obtain From the...
1. What is the Pre-Operative Phase A. What essential Data should the Nurse Obtain From the Patient and Family. B. What Patient Education should be provided during the Pre Operative evaluation, this education is directed at prevention of Post operative Complications. 1. Coughing an Deep Breathng, use of Spirometer 2. Leg Exercises 3. Pain Control 2. What is the roll of the Circulating Nurse. 3. Why do we do Time Outs, is instrument and sponge count important and why. 4....
After surgery, the post-anesthesia care unit calls the nurse to give report. Ryan's Surgery went well and he is sta...
After surgery, the post-anesthesia care unit calls the nurse to give report. Ryan's Surgery went well and he is stable. They'd like to know which room he will be going to after surgery The charge nurse evaluates the room choices on the unit. Which is the best bed placement for Ryan? Check the best option. Room 245 Room 246 Room 247 Bed 1: Open Bed 1:14-year-old boy with a fracture, Bed 1:7-year-old boy on Bed 2: 15-month-old girl with in...
An 86 year old male is admitted from the PACU after a slow recovery from anesthesia...
An 86 year old male is admitted from the PACU after a slow recovery from anesthesia following a procedure to replace his pacemaker. The patient has a history of diabetes, peripheral vascular disease, and peripheral neuropathy. The patient’s daughter requests an ice pack to reduce swelling at the surgical incision site and states the “stitches appear stretched and taunt”. What are some possible concerns you may have regarding the use of cold treatment at the surgical site? Include at least...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-year-old...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-year-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4-S1 today. She had an estimated blood loss (EBL) of 675 mL during surgery and received 2500 mL of Lactated Ringers (LR). Pain is currently controlled at 2/10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus of 0.1 mg...
This type of coding is based on the services recorded in the anesthesia record. The record...
This type of coding is based on the services recorded in the anesthesia record. The record contains preoperative notes, intraoperative notes, and postanesthesia care unit documentation. Preoperative notes cover the patient's medical and surgical history, history of anesthetic complications, current medications, and respiratory condition, and the chosen anesthesia. Postanesthesia care unit (PACU) documentation record the monitoring of the patient for immediate postoperative complications. Intraoperative notes reflect the monitoring of the patient during the procedure. In addition to the anesthesiologist's document...
Case Studies, Chapter 32, Skin Integrity and Wound Care 1. You are a nurse in a...
Case Studies, Chapter 32, Skin Integrity and Wound Care 1. You are a nurse in a medical-surgical unit in a hospital caring for a 27-year-old professional football player who underwent surgery to repair a compound fracture of his femur. The surgery went smoothly and you are responsible for his postoperative care after he returns from PACU. (Learning Objectives 1 and 2) a. What is his skin's role in preventing infection before surgery? b. Describe how you would expect his wound to heal. C. Indicate...
Mr. Ellis returns from the Post Anesthesia Care Unit (PACU) after his surgical procedure. He has an Ⅳof LR infusing at 125 mL hr O2 at 2 L/min per nasal cannula, and an indwelling 1. catheter attached to a drainage bag. Four hours later, the nurse documents Mr. Elis ntake/output. The LR solution has been running for 4 hours, and the nurse administers and IV antibiotic that runs in 150 mL of normal saline. Mr. Ellis is still NPO after...
Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post- operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN...
After surgery, the post-anesthesia care unit calls the nurse to give report. Ryan's Surgery went well and he is stable. They'd like to know which room he will be going to after surgery The charge nurse evaluates the room choices on the unit. Which is the best bed placement for Ryan? Check the best option. Room 245 Room 246 Room 247 Bed 1: Open Bed 1:14-year-old boy with a fracture, Bed 1:7-year-old boy on Bed 2: 15-month-old girl with in...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-year-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4-S1 today. She had an estimated blood loss (EBL) of 675 mL during surgery and received 2500 mL of Lactated Ringers (LR). Pain is currently controlled at 2/10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus of 0.1 mg...
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