matthewscomcastnet lOMoARcPSD3716517 Succinylcholine paralytc Increased HR RR

Matthewscomcastnet lomoarcpsd3716517 succinylcholine

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Downloaded by Morgan Matthews ([email protected]) lOMoARcPSD|3716517
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Succinylcholine (paralytc) Increased: HR, RR, CO2 Ventricular dysrhythmias Treatment: dantrolene (muscle relaxer) slows metabolism o Anaphylaxis Severe allergy Life-threatening circulatory and pulmonary collapse Meds, blood, latex Post-op care o PACU = phase 1 recovery o Report Circulator Anesthesia Surgery o ABCs = priority Aldrete score o Actvity, respiraton, consciousness, color , O2 sat o Post op assessment to check ABCs o Max score of 2 each, so 10 total o Score of 8 or higher to be discharged from phase 1 recovery Physical assessment o Drives all actons o Full H2T (focus on heart, lungs, surgical site) o Pain o N/V o Plumbing Tubes, drains, IVs, other o Psychosocial Phase 1 care plan o Inefectve breathing patern o Risk for aspiraton o Alteratons in cardiac output o Alteratons in comfort o Altered thought process o Inefectve thermoregulaton Respiratory challenges o Obstructon o Hypoxemia Atelectasis (alveolar collapse from “lazy lungs”) Bronchoconstricton Bronchospasm o Hypoventlaton (meds/waking up) Neurological challenges o Delirium Wild and woolly Restless Disoriented Downloaded by Morgan Matthews ([email protected]) lOMoARcPSD|3716517
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Combatve Who is most at risk? Young healthy males o Delayed emergence Prolonged med acton Which meds most likely? Opioids and sedatves Thermoregulaton challenges o Hypothermia = < 36 C o Why? Rooms are chilly to help decrease chance of post-op bleeding o Those at risk Elderly Children Intoxicated o Interventons Moving on… o PACU d/c criteria (AU health) VS + or – 20% baselines O2 sats 94% on RA Pain < or equal to 4 No bleeding/discharge No N/V 20 minutes since last opioid o Report o Transport Floor or unit Phase 2 recovery Post-op care o Phase 2 recovery = ambulatory surgery o VS o Physical assessment Surgical site Tubes, drains o Pain o N/V o Contnue to emerge D/C teaching o s/s infecton o Surgical site care o Medicatons o Actvity level Exercises o Dietary consideratons o Follow-up appointment o Emergency procedures: fever of 104 F or greater, actve bleeding, uncontrolled N/V Nursing diagnoses o Pre-op Anxiety, insomnia, defcient knowledge o Intra-op Downloaded by Morgan Matthews ([email protected]) lOMoARcPSD|3716517
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Inefectve breathing patern/tssue perfusion, risk for perioperatve positoning injury o Post-op Acute pain, nausea, risk for infecton Legal--1 queston General concept o Law can be defned as the sum total of rules and regulatons by which a society is governed. As a result, law is created by people and exist to regulate all persons o Laws: Delineate acceptable nursing practce Provide a basis on which many healthcare decisions are determined, and Protect nurses from liability in cases in which safe practce is maintained o
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