NUR 322 Lecture Notes - Lecture 4: Hysterectomy, Pharyngeal Reflex, Capillary Refill

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1 Feb 2017
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Antibiotics, sedatives (need to consent), want them the most relaxed. Involve them in the follow up apt, educated about what may need to be done after surgery, make sure they have a ride. C + db: coughing, turning, deep breathing. Not after brain, spinal or eye surgery. Splinting helps with deep breathing and coughing. Prepare them for the procedure and tell patient what they can expect. Tell them they may not be able to talk. Advanced directives (dnr), time frame for dnr order, certain circumstances. Teach about side effects of anesthesia (hypotension is a side effect) Should not have any jewelry, dentures, glasses, contacts. Patient should be wearing a gown, id, any allergy bracelet, record vital signs (30 min before surgery) Cauti - (cid:449)a(cid:374)t re(cid:373)o(cid:448)e (cid:272)atheters 2 days" post op. May have to shave them with an electric razor. Recovery position is turn to left side. Capillary refill <3sec (pulse ox may be low)

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