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surgical clients

AB
emergencyw/out delay, life threatening
urgentw/in 24-30 hrs
requiredfor few weeks/months
electivewill benefit w/ but no harm if not done
optionalpersonal preference
ambulatory surgery<24hrs hosp, not critically ill
factors that complicate surgeryage, diabetes, renal, cardio disease
preop teachingNPO, meds, permit, TCDB, tubes
malignant hyperthermiarapid, progressive rise in body temp
s/s of malignant hyperthermiatachycardia, fever, cyanosis,
assessment of post op ptairway, incs, IVs, LOC, tubes, pain
complications in early postop periodhemorrhage, shock, hypoxia
nutrients needed for wound healingcalories, protein, vit A & C
key for wound healingadequate blood flow
dehiscenceseperation of wound edges
eviscerationseperation & protrusion of organs
care of dehiscence/eviscerationsterile drsg, sterile NS, call DR
when is wound at risk for evisceration7-10 days postop
causes of post op abd distentioninactivity, anesthesia, manipulation of bowel
paralytic ileusparalyzed intestines
treatmetn-paralytic ileusNG, NPO, reglan
atelectasiscollapse of lung tissue
thrombophlebitisvein inflammed w/ clot
urinary retentioninability to void


PN Program Director
MO

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