Ebook Perioperative practice at a glance: Part 2
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Ebook Perioperative practice at a glance: Part 2
Recovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2 - Part 2 70Monitoring in recovery 72Maintaining the airway 74Common postoperative problems 76Managing postoperative pain 78Managing postoperative nausea and vomiting 80Part 4 Recovery@ Introducing the recovery roomFigure 29.1 Patient being looked after In recovery by a recovery practitionerRrntyvru Ebook Perioperative practice at a glance: Part 2lw Pnn/IIY a! a GlaiKt, fint Edition Paul Wicker. 0 2015 lobn Wiry it Sam, lid Publnhtd 201$ by John Wiley it Son* lid.The recovery room, sometimes caEbook Perioperative practice at a glance: Part 2
lled the post-anaesthetic care unit (PACU), Is part of the operating department. Recovery practitioners provide care for postoperative patients, detecRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2covery practitioners check their condition regularly and stay at the bedside giving direct patient care (Hatfield and Tronson 2009). Essential equipment includes oxygen supplies, suction, ECG monitors, blood oxygen saturation (SpO,) monitors, intubation equipment, cardiac arrest trolley and patient Ebook Perioperative practice at a glance: Part 2heating devices. When the patient recovers from anaesthesia and any prob lems have been resolved, practitioners arrange for their return to the ward.Ebook Perioperative practice at a glance: Part 2
The recovery room usually supports patients tor at least an hour, until they have recovered enough from the anaesthesia to be able to maintain their aRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2e calm and relaxing, with a minimum amount of noise. Painting walls and ceilings in soft and pleasing colours helps to encourage relaxation. Indirect lighting is useful to prevent glare or harsh lights affecting patients as they wake up.Caring for the postoperative patientRecovery practitioners have Ebook Perioperative practice at a glance: Part 2 special skills to care for a patient recovering from anaesthesia and surgery and must be able to carry out caring interventions to support and help dEbook Perioperative practice at a glance: Part 2
ie patient to recover (Wicker & Cox 2010). Airway maintenance is the primary role for practitioners, but observing wounds, drains, tubes and intravenoRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2e of Wood loss during surgery, especially after lengthy surgery’(Hatfield & Tronson 2009). Observing catheters and wound drainage lubes and preventing kinking or resolving blockages help to prevent problems caused by patients moving accidentally during the early stages of their recovery. It is also Ebook Perioperative practice at a glance: Part 2important to help die patient cough sputum up from the airways, and for them to take deep breaths several times regularly to ensure dial their breathiEbook Perioperative practice at a glance: Part 2
ng and airways are clear. Dependent and lethargic patients, possibly following long anaesthesia and surgery or because they are elderly, are at risk oRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2s during recovery, including anti-emetics, analgesics, anlihyperlcnsivcs and antibiotics (Wicker & Cox 2010). Safety measures may include keeping side rads raised; keeping the patient warm and comfortable; careful positioning of the patient to prevent discomfort and skin damage; ensuring that uncons Ebook Perioperative practice at a glance: Part 2cious patients do not use a head pillow; and ensuring that a patient lying in the supine position has their head turned to one side so that secretionsEbook Perioperative practice at a glance: Part 2
can drain from the mouth, as well as preventing the tongue from blocking the airway. Practitioners can prevent nosocomial infections by washing theirRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2l anaesthesiaPatients who have been given spinal or epidural anaesthetics will be immovable for several hours. Practitioners should follow the patients movements carefully and record any movements as they slowly recover, spinal anaesthetics last longer than epidural anaesthetics. Spontaneous movemen Ebook Perioperative practice at a glance: Part 2ts may lead to problems, such as the patient falling out of bed or damaging a limb. Therefore observing any patient movements after spinal anaesthesiaEbook Perioperative practice at a glance: Part 2
is important until they start to recover. Spontaneous movements usually occur in the patients toes and feet and then move up the legs. Feeling also rRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2 body. Under normal circumstances, practitioners should keep patients supine fix 6 to 8 hours to prevent spinal headache, which can occur if the patient sits up (Hatfield & Tronson 2009).Patients who have undergone general anaesthesiaMaintaining the patient's airway is one of the most important task Ebook Perioperative practice at a glance: Part 2s tor the recovery practitioner. This will require knowledge and skills in managing an airway, the use of oxygen masks and Guedel air ways, and resuscEbook Perioperative practice at a glance: Part 2
itation procedures. Practitioners must also observe and record the patient's level of consciousness until the patient fully recovers from the anaestheRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2breathing problems, lhe patient can be categorised as alert (giving suitable responses to stimuli such as voices or pain), drowsy (lialf asleep and sluggish), stupor (lethargic and unresponsive, unaware of their surroundings) or comatose (unconscious and unresponsive to stimuli). To assess the level Ebook Perioperative practice at a glance: Part 2 of consciousness, the practitioner should engage patients in a conversation to note their degree of orientation. Postoperative complications that neeEbook Perioperative practice at a glance: Part 2
d to be addressed can include issues such as nausea and vomiting, hypotension, pain, fluid imbal ancc, respiratory problems and cardiovascular problemRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2 should tell them where they arc and that practitioners are-nearby and will help them as needed. It may also be advisable to tell the patient about the tasks the practitioner is going to be doing, tor example checking the wound site or examining areas of the body. Once the patient has recovered, the Ebook Perioperative practice at a glance: Part 2 ward staff will receive information before the patient leaves the recovery room. This includes the patient's name; type of surgery; mental alertnessEbook Perioperative practice at a glance: Part 2
recordings of vital signs; presence, type and functioning of drainage tubes, IV and so on; and the patients general condition. All of this informationRecovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient care Ebook Perioperative practice at a glance: Part 2er In the recovery room following surgeryb-xrcc: Antrc-i UnMifiC/ Hxoui U/cwct.Rrncytrnlw PnnVire at.» GAnwr. Fint Edition Paul Wicker. o 2OI5 Inbn Wiley it Son*. Ltd Publnbcd 2015 by John Wiley it Soos. Lid.Admission into the recovery unit Ebook Perioperative practice at a glance: Part 2Recovery55 8 8 B 8 8 2 8 8ChaptersIntroducing the recovery room 64Patient handover 66Postoperative patient care - Part 1 68Postoperative patient careGọi ngay
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