NSG3305 Lecture Notes - Lecture 3: Post-Anesthesia Care Unit, Atelectasis, Nanda
2 Apr 2018
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Exam: definition of pain, opqrstu, understanding tolerance, harmful effect of unrelieved pain, pain in older adults. Pacu= post anesthesia care unit, priority care includes monitoring and management of: respiratory and circulatory function, pain, temperature site, surgical site, client"s response to anesthetic reversal. Initial assessment: airway, breathing circulation, airway patency, rate and quality of respirations, auscultate breath sounds in all field, o2 saturation, ecg monitoring, measure bp and compare to baseline, assess temperature and skin color and condition. Initial neurological assessment: assessment of urinary system, assess surgical site and condition of dressing, explain all activities from admission as hearing is first sense to return, orientation - person, place, time. Care of postop patient on clinical unit: pacu nurse gives report to receiving nurse summarizing operative and postop periods, receiving nurse assists with transfer to bed, vital signs obtained and added to report, next is an in-depth assessment.
