What are the interventions to prevent post op

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31.What are the interventions to prevent post-op complications?
Wound care assessment and care
32.What are the different types of anesthesia? What are the advantages/ disadvantages of each?
Fall 2017Advantages: Pt is unconscious, so experience doesn’t cause anxiety that might alter cardiace and respiratory functioningMuscles are relaxed, so patient are motionlessCan be adjusted to accomidate age, physical condition, length of procedure. Dosage can be adjusted without interuption during procedureDisadvantagesRespiratory and circulatory muscles are depressed so mechanical ventilation is neededPredisposes pt to pneumonia and thrombophlebitis in the postoperative periodCreates risk for death, heart attack, stroke, malignant hyperthermiaMinor complaints of sore throat, nausea, vomiting, and confusionConscious sedation= provides IV sedation and analgesia without producing unconsciousness. PT may feel sleepy but is aware of surroundings, can be easily aroused by speech, touch, and can talk with the surgical team. Be sure to monitor vitalsAdvantages:Pain and anxiety are adequately controlled without risks of general anesthiaRapid recoveryDon’t need to support airwayRegional Anesthesia- prevents pain by interrupting nerve impulses to and from the are of procedure. Pt is allert but numb to the area involved. Adminsistered by infiltration to area invoved.adminsitered by infiltration of surgical site and surrounding tissue with local anesthetics such as lideocain, or bupivacine. The medications may also be injected into and around specific nerves to depress the sensory, motor and / or sympathetic impulses of a limited body area.Advantages: Low costSimple to adminsiter rquires minimal recovery periodSuitable for minor ambulatory proceduresDisadvantagesMany apprehensive about ability to see/hear the procedure. Not practical if pt highly anxious/ pain not controlledTechniques to achieve regional anesthesiaPeripheral nerve block- injection into and around a nerver/ group of nervesA Bier block (IV) the anesthetist places a tounicquet on an arm/ leg and then injects a local anesthetic agent in treavenously below a raecoverySpinal anaesteisaoRapid onset. Anesthesia inUsed for procedures like bronchoscopy, cosmetic surgery, but not practical for highly anxious pts
Fall 2017

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