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    6.1b Clinical Reasoning Postoperative Evaluation

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    Md Abedul Hoque Abid
    1. The most common post-operative complications are nausea and vomiting. Assessing pain, respiratory status, and checking for bleeding or infection is important. 2. Pulmonary embolism is a significant risk and can be prevented with early mobilization, incentive spirometry, and smoking cessation. 3. Surgical site infections can occur and should be monitored for signs of infection like increasing pain, redness, or purulent drainage. Appropriate antibiotic treatment may be needed.

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    6.1b Clinical Reasoning Postoperative Evaluation

    Uploaded by

    Md Abedul Hoque Abid
    57 views23 pages
    1. The most common post-operative complications are nausea and vomiting. Assessing pain, respiratory status, and checking for bleeding or infection is important. 2. Pulmonary embolism is a significant risk and can be prevented with early mobilization, incentive spirometry, and smoking cessation. 3. Surgical site infections can occur and should be monitored for signs of infection like increasing pain, redness, or purulent drainage. Appropriate antibiotic treatment may be needed.

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    1. The most common post-operative complications are nausea and vomiting. Assessing pain, respiratory status, and checking for bleeding or infection is important. 2. Pulmonary embolism is a significant risk and can be prevented with early mobilization, incentive spirometry, and smoking cessation. 3. Surgical site infections can occur and should be monitored for signs of infection like increasing pain, redness, or purulent drainage. Appropriate antibiotic treatment may be needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    57 views23 pages

    6.1b Clinical Reasoning Postoperative Evaluation

    Uploaded by

    Md Abedul Hoque Abid
    1. The most common post-operative complications are nausea and vomiting. Assessing pain, respiratory status, and checking for bleeding or infection is important. 2. Pulmonary embolism is a significant risk and can be prevented with early mobilization, incentive spirometry, and smoking cessation. 3. Surgical site infections can occur and should be monitored for signs of infection like increasing pain, redness, or purulent drainage. Appropriate antibiotic treatment may be needed.

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    For

    Signs

    (Severe case)

    (If any concern, then ABG & Chest X-Ray


    obtained)
    Also assess

    Lastly,also check
    Most common post OP complication is nausea & vomiting
    In addition

    To prevent this
    Instead options are

    & person is due for an another dose


    Common pulmonary Post OP complication

    Individual

    1. focusing on 3 things
    2. (encouraged)
    3. (who unable to expectorate their secretion)

    Most common in

    Smoking cessation
    preoperative exercise, and Incentive spirometry
    Pulmonary Rehabilitation with
    aerobic exercises,
    deep breathing exercises &
    inspiratory muscle training,

    (spontaneous
    deep breathing)
    Imp & common Post OP complication
    which identifies the presence,location
    & extent of venous thromboembolism

    as part of a long-term Tx monitoring


    strategy as the lvls, tend to normalize with
    resolution of the clot

    DVT & PE (pulmonary


    embolism)

    (To most w/out contraindications)


    Feeling of

    occurs when
    done through
    However

    (another option
    for bladder
    decompression)
    shows

    indicates

    (+)

    in case of
    (advanced age)
    ACUTE

    evaluation
    Precise mechanism unknown but
    depends on presentation

    in

    gradually
    Abdominal
    distention

    Showing a dilated colon (Last resort if)


    & excluding a mechanical obstruction
    Both can occur in immediate post OP period

    1.

    2.

    So it's ideal to use


    (PNEMONIC : W)

    1. 3. 5.

    2. 4. 6.
    Induced by

    Induced by
    Lab
    findings
    &
    due to
    (Relatively common) 2 possible mechanisms

    Either way problem is related to donor's WBC

    Flank Red urine


    pain

    But secret here is


    (can cause ARF)

    (as both cases problem is


    due to Donor WBC,
    Lots of (for fever) so removing them from
    (To boost the urine output) transfused products solves
    the problem)

    Thats what bloodbanks do,


    significantly reduce non
    hemolytic reaction
    due to

    During surgery

    if

    identified

    Alternative
    caused by
    suspected

    If signs of
    Systemic Infected wounds are

    for wounds healing by


    Secodary intention
    (to remove is the one that
    of infection dead tissue)

    at operation site guided by


    Another complication of sugical site

    due to

    (If involve portion (If involve whole incision)


    of incision)

    If abdominal wound dehiscence

    (Rare but severe complication)


    starts at
    to assess

    Post -OP

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