Term
| Post Op assessment --Head-- |
|
Definition
Pain
Fever
Delirium
Hypothermia |
|
|
Term
Post Op assessment
---Respiratory--- |
|
Definition
Airway obstruction
Hypoventilation
Aspiration ( Vomit )
Pneumonia
Hypoxemia |
|
|
Term
Post Op assessment
---Urinary--- |
|
Definition
Retention...output < 60% of in intake
Infection...due foly |
|
|
Term
Post Op assessment
---Gastrointestinal--- |
|
Definition
Nausea vomiting
Distention and flatulence
Paralytic ileus
Delayed gastric emptying---Reglan increases gastric empting |
|
|
Term
Post Op assessment
---Cardiovascular--- |
|
Definition
Dysrhythmias
Hemorrhage
Hypotension
Hypertension
Thrombosis
Phlebitis
Pulmonary embolism |
|
|
Term
Post Op assessment
---Integumentary--- |
|
Definition
Ineffective wound heeling. . .
Infection. . . .
Hematoma (Internal Bleeding –bruises-). . .
Dehiscence. . . .
Evisceration. . .
Keloid for mation |
|
|
Term
|
Definition
Venous Stasis . . .
Endothelial Damage . . ..
HypercoagulabilityOf Blood . . . |
|
|
Term
| Risk factors for Venous Stasis |
|
Definition
1.Obesity Pressure on groin area slows blood retune.. . .
2.prolong immobility . . .
3.Bad circulation (atrial fib) . . .
4.Advanced age. . . .. |
|
|
Term
| Risk factors for Endothelial Damage |
|
Definition
1. IV therapy . . .
2.Fractures Pelvis and hip...
3.previous DVT .. . .
4.Indewly catheters . . . .
5. IV drug users . . . .
6.Trauma . . |
|
|
Term
| Risk factors for Hypercoagulability of blood |
|
Definition
1.Oral contraceptives
2.Diabetes . .. .
3.Smoking . . . . .
4.Dehydration Sluggish blood. . . . .
5.estrogen therapy . . . ..
6.malignancies . . . . .
7.Anima & sepsis .. . . . |
|
|
Term
|
Definition
Chronic Venous Insufficiency
Pulmonary embolism
---Assessments----
Sudden dyspnea
Anxiety
Sudden change in mental status |
|
|
Term
| To monitor Heparin IV use which test |
|
Definition
(((aPTT)))activated partial prothrombin time. . .
Normal value: 30 - 40 seconds
Therapeutic range: 1.5 – 2.5 times greator then the patient normal |
|
|
Term
| How and How much Heparin do we give |
|
Definition
| prevention 5K to 20K SQ . . . If they have a DVT 5K to 40K IV |
|
|
Term
| What med do people go home on to prevent clots |
|
Definition
Coumadin
2 to 15 mg/day ((PO)) |
|
|
Term
| A SQ med to prevent clots other then hrparin and why that med |
|
Definition
Lovenox (enoxaparin)
30 mg BID SQ
. . . .Cause you dont need to take asmamy labs |
|
|
Term
| What tests are used to monitor Coumadin and what are normal value |
|
Definition
(((PT &**INR**)))..2.0 to 3.0
Question ranges Higher the 3.5 |
|
|
Term
| Antidote for Coumadun & Heparin |
|
Definition
| Heparin = protamine sulphate . . . . .Coumadin = Vitamin K |
|
|
Term
|
Definition
|
|
Term
| Urinary out-put 30-50 ml susppect |
|
Definition
|
|
Term
| Urinary out-put 30-50 ml what should you susppect |
|
Definition
|
|
