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PREP QUESTIONS Simulation: 481: Post Op Complications Post-Operative Complications Read & Review: Harding, M. M., Kwong, J., Roberts, D., Hagler, D., Reinisch, C. (2020). Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed.). St. Louis, MO: Elsevier. Mathers, D. (2014). Lower respiratory problems. In Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (9th ed., pp. 551-557). St. Louis, MO: Elsevier. OR Hoch, C. (2017). Postoperative care. In Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (10th ed., pp. 330-346). St. Louis, MO: Elsevier. Mondor, E. (2017). Lower respiratory problems. In Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (10th ed., pp. 529-534). St. Louis, MO: Elsevier. PREP QUESTIONS Describe the common respiratory problems for postoperative patients in the clinical unit. Respiratory Problem Description Atelectasis Mucous Plugs Surfactant Bronchial Secretions Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative patients in the clinical unit. Respiratory Intervention Description Rationale Deep Breathing Incentive Spirometer Effective Coughing Position Change Describe the common cardiovascular problems for postoperative patients in the clinical unit. Cardiovascular Problem Description Fluid Retention Fluid Overload Hypokalemia VTE/PE Syncope Discuss postoperative ileus including definition, risk factors, clinical manifestations, and prevention/treatment interventions. Definition – Risk Factors – Clinical Manifestations- Interventions- Describe the focused assessment for a patient with a surgical wound and expected findings for healing wound, dehiscence, and wound infection. Compare and contrast superficial vein thrombosis and deep vein thrombosis. Superficial Vein Thrombosis Deep Vein Thrombosis Compare and contrast deep vein thrombosis (DVT) and venous thromboembolism (VTE) in the post-operative patient. Disease Deep Vein Thrombosis (DVT) Pulmonary Embolism (PE) Etiology Pathophysiology Clinical Manifestations Complications Discuss the priority interventions the nurse would implement for DVT and PE. DVT Interventions PE Interventions Medications to have prepared on medication cards: Cefazolin Furosemide Metoprolol Insulin- Regular Insulin- Glargine Hydrocodone/Acetaminophen Morphine Heparin Diltiazem

 
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