NURS 4526 Lecture Notes - Lecture 7: Ileus, Pulse Oximetry, Abdominal Distension
Document Summary
Post op period begins immediately after surgery & continues until discharge. Client"s immediate recovery period is supervised by pacu nurse pacu is located adj to or to transportation of client immediately post op and to provide ready access to anesthesia and surgical personnel. General info: pt name, dob, age, anesthesiologist name, surgeon name, surgical procedure. Intraop management: anesthetics received, other meds (pre/intraop), blood loss, fluid replacement totals incl blood transfusion, urine output. Pt history: indication for surgery, med history, meds, allergies. Intraop course: unexpected anesthetic events/rxns, unexpected surgical events, vs & monitoring trends, results of intraop lab test. Pacu priorities incl: monitoring/management of rr & cv fxn, pain, temp & surgical site. Pacu nurse must also assess pt response to reversal of anesthetic ie. sedation score/ level of spinal block. A: patency, oral/nasal airway, endotracheal tube; b: rr rate/quality auscultated bs, pulse oximetry & supplemental o2; c: Ecg (rate/rhythm), bp, temp/color of skin, peripheral pulses.
