Postanesthesia Recovery

53 important questions on Postanesthesia Recovery

The PACU is staffed by ______ trained in postoperative recovery and emergency treatment.

Critical care nurse

The PACU is close to the surgical suites for _____ transfer of the patients after surgery.

rapid

Drugs given during the preoperative and intraoperative phase have a direct pharmacological effect on those administered _____.

Postoperatively
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Malignant ______ (MH) is a rare condition that results in an extremely high core body temperature, cardiac dysrhymia, tachypnea, (increased respiratory rate), hypoxia, and hypercarbia.

Hyperthermia

Self-discharge by a patient who has not necessarily met discharge criteria is known as ______

discharge against medical advice

During surgery preparation, the patient's _____ is continually monitored

Physiological status

_____ is a term used to describe a clinical scenario in which patient's are prescribed may different medication.

Polypharmacy

Patient _____ to home or another care facility is arranged before surgery whenever possible

transport

______ problems are the most frequent life-threatening postoperative complication.

Respiratory

Although ____ is expected in the post surgical phase, not all patients respond to this in the same way.

Pain

Pain at the operative site is another cause of ____, resulting in low oxygen saturation.

Hypoventilation

Discharge planning and implementation follow established roles and tasks according to hospital ______.

policy

Patient teaching is the responsibility of _____ nursing personnel.

trained

In the event of impending _____ or rapidly deteriorating patient, surgery may be terminated and the patient taken to the PACU.

death

A potentially fatal syndrome of hyper-metabolism resulting in extremely high body temperature, cardiac dysrhthmia, and respiratory distress is known as _____

Malignant hypertherima (MH)

Wound _____ and care are the primary importance during the postoperative period.

assessment

The ______ is assessed for distention (which may indicate the presence of fluid, including blood) or air.

abdomen

The ______ staff provides continual emotional support to the patient

PACU

Both ______ and bronchspasm can be caused by particular anesthetic agents.

laryngospasm

After receiving the handover, or patient from the surgical suite, the PACU nurse immediately _______.

performs a patient assessment

Perfusion or oxygen saturation of the blood is measured by _____.

pulse oximeter

The _____ assessment is used by the PACU nurse to focus on a specific organ system or region of the body.

focused

Fluid shifts from the vascular space to the intracellular space can occur after surgery, and the patient must be _____ carefully.

evaluated

The patient's level of pain and _____, airway, circulatory status, oxygen perfusion, and temperature are then assessed.

consciousness

Assessment for _____ includes physical signs and symptoms

dehydration

Patients often need reassurance and orientation to their _____ while emerging from general anesthesia or heavy sedation.

environment

Pulmonary _______ is a blockage of a pulmonary vessel by air, a blood clot, or other substance (atherosclerotic plaque)

embolism

Many anesthetic agents are cardiac irritants that can sensitize the ______ muscle to disturbances in rhythm, rate, and cardiac output

heart

Patients are informed and educated about their own care so that they can fully participate in their _____

recovery

Partial or complete closure of the bronchial tubes is

bronchospasm

The heart is monitored for rate and rhythm using ______ leads and a cardiac monitor, which produces a digital waveform

EKG, or ECG

The central _____pressure may be measured with an inline catherter or by observing the jugular veins

Venous

Patient's and family receives referral numbers for _____ care or further information

emergency

In the event the patient has no assistance available, community resources, including _____ services and professional home nursing services, must be brought in.

social

Physiological objectives that are necessary to ensure patient safety outside the critical care unit are called?

discharge criteria

Aspiration or inhalation of secretions or stomach contents is associated with a weak gag ____ related to use of narcotics, sedatives, and anesthetic agents.

reflex

______ (hand-off) is a verbal and written report from one nurse to another to provide updated patient information.

handover

Communicates specific orders for continuation of care and a smooth recovery.
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

Anesthesia provider

Performs duties in the post anesthesia care area
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

PACY nurse

Assigns and reports the ASA during handover
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

Anesthesia provider

May sign out of the health care facility AMA
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

Surgical patient

Accountable for ensuring that the family members are alerted and kept up to date.
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

PACU nurse

Informed and educated to fully participate in the recovery phase
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

Surgical patient

ADLs often determine their quality of life
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

Surgical patient

Performs a complete baseline assessment at the time of admission to PACU
1. Anesthesia provider
2. PACU nurse
3. Surgical patient

PACU nurse

Based on psychosocial and physiological criteria
1. Glasgow Coma Scale
2. Aldrete Scale

Aldrete Scale

A standardized method of measuring the patient's response to external stimuli
1. Glasgow Coma Scale
2. Aldrete Scale

Glasgow coma scale

Used to assess motor response to verbal commands
1. Glasgow Coma Scale
2. Aldrete Scale

Glasgow coma scale

Vital signs are stable and reflect patient's baseline normal
1. Glasgow Coma Scale
2. Aldrete Scale

Aldrete scale

Incision site is dry and drainage absent or within expected limits
1. Glasgow Coma Scale
2. Aldrete Scale

Aldrete scale

Confirms home environment is suitable for recovering patient
1. Glasgow Coma Scale
2. Aldrete Scale

Aldrete Scale

Confirms patient's pain is controlled and acceptable at discharge
1. Glasgow Coma Scale
2. Aldrete Scale

Aldrete scale

Uses verbal response to painful stimuli for assessment
1. Glasgow Coma Scale
2. Aldrete Scale

Glasgow coma scale

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