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Chapter 15: Perioperative Nursing Care

by 꿀오소리 2023. 1. 14.
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lexative : 배변완화제

client= patient

preoperative teaching 중 : education patient opioid willnot make patient a drug addiction 중독

active type : 혈액형

dentures : 의치

valuables : 귀중품

 

before startsurgery, time-out is conducted with all staff

time-out? 수술 전 모는 스텝이 patient ID band, history, physical, allergy, surgical site 확인 후all staff agree하에 수술시작

 

post OP

- monitor secretion, ETCO2 35-40 Normal,

- sequential compression device for venous return and preventing clot

- Low-fowler's position for lung expansioin if not contraindicated.

- avoid supine position until pharyngeal reflexes return.

- keep NPO until gag reflex return, when start oral fluid, start with ice chip and water.

- monitor urine out (>30ml/hr) and bladder distention

- make sure voiding within 6-8 hours after surgery(>200ml)

- assess pain and administer pain medicine : for lung expension, prevent pneumonia

- wound infection ( DM patione ) : 감염우려 monitor 잘히기

atelectasis : 무기폐

complication : 문제, 합병증

dehiscence : 열개 - 상처가 벌어짐

evisceration : 내장적출

 

bloody > sanquineous > serosanquineous > serous

 

acetylsalicylic acid ( aspirin ) : NSAIDs, bloodthiner

additional education → 틀린것 찾기..?????

 

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