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Post-Op Care Lecturio

The document outlines post-operative care considerations, focusing on causes of tachycardia such as pain, myocardial infarction, and pulmonary embolism, along with their risk factors and prevention strategies. It emphasizes the importance of monitoring for complications like hypoxia and mental status changes, and suggests adjunctive studies like ABG and EKG for diagnosis. Treatment protocols for myocardial infarction and pulmonary embolism are also discussed, highlighting the need for systemic anticoagulation and the use of MONA therapy.

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Kim Sunoo
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47 views3 pages

Post-Op Care Lecturio

The document outlines post-operative care considerations, focusing on causes of tachycardia such as pain, myocardial infarction, and pulmonary embolism, along with their risk factors and prevention strategies. It emphasizes the importance of monitoring for complications like hypoxia and mental status changes, and suggests adjunctive studies like ABG and EKG for diagnosis. Treatment protocols for myocardial infarction and pulmonary embolism are also discussed, highlighting the need for systemic anticoagulation and the use of MONA therapy.

Uploaded by

Kim Sunoo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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POST-OPERATIVE CARE

Causes of Tachycardia
 Pain
 Myocardial Infarction
 Pulmonary Embolism
 Hypovolemia
 Withdrawal
 Sepsis

 Pulmonary Embolism

o Risk Factors
 Major surgery
 Immobility
o Prevention
 Pharmacologic DVT prophylaxis
 SCDS
o ABG
 Hypoxemia
 Hypocarbia
o Treatment
 Systemic Anticoagulation
 Decrease propagation of further clot both in the legs and lungs
 Decrease inflammatory response
 Myocardial Infarction- the coronary vessels are not perfusing enough oxygen
o Main goal is of preop workup is to predict and prevent MI
o Chest pain:
 May be atypical
 Masked by other surgical pain
o EKG.Troponin
o MONA Tx
o Statin reduces in-hospital mortaility
 Morphine, Oxygen, Nitrolycerin, and Aspirin
o Causes of Fevers:
 Atelectasis
 Pneumonia
 UTI
 DVT
 Foreign objects: Central Lines, drains, catheters, mesh, implants
 Surgical site infection/ deep surgical infection
 Intrabdominal abscesses
 Look at surgical wound, common site of surgical fevers

Etiologies of Hypoxia
 Poor inspiratory effort
 Atelectasis
 Pneumonia
 Pulmonary Embolism

*move to ambulate to avoid recumbent causes atelectatis

Desaturation
 Supplemental Oxygen
 ABG
 Chest X-ray

Mental Status Changes


 Is patient protecting her airway? And moving air?
 Were there neurological findings consistent with stroke?
 Was recent sedative/anxiolytics medications administered?

Adjunctive Studies
 ABG
 EKG
 CXR
 CT Head

Sometimes you might not have the diagnosis prior to initiating therapy

Consider pulmonary embolism in a patient who is hypoxic and hyperventilating (ABG shows
low carbon dioxide)

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