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PREP QUES-TIONS 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: As-
sessment 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.
Samira
Samira Kotey Group C
PREP QUESTIONS
1. Describe the common respiratory problems for postoperative patients in the clinical unit.
Respiratory Problem Description
Atelectasis occurs when the entire lung or a portion of the lung (lobe) collapses completely or partially.
When the tiny air sacs (alveoli) within the lung become deflated or maybe filled with alveolar
fluid, this condition arises.
Mucous Plugs Early in pregnancy, an accumulation of mucus accumulates in the cervical canal. It keeps bacte-
ria and infections out of your uterus and away from your baby. The mucus plug will fall out as
your cervix prepares for childbirth. In late pregnancy, this is a typical and frequent symptom.
Surfactant The alveoli are coated with surfactant (the air sacs in the lungs where oxygen enters the body).
This keeps your baby's alveoli from sticking together when he or she exhales (breathes out).
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, Bronchial Secretions The airway epithelium fluid is mostly produced by goblet cells and submucosal glands, but tiny
amounts of surfactant from clara cells and other fluids are also present.
2.
2. Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative patients in the
clinical unit.
Respiratory Intervention Description Rationale
Deep Breathing Taking deep breaths can assist you in voluntar- Deep breathing is one of the most effective
ily regulating your ANS, which can have a vari- methods for reducing stress in the body. This
ety of benefits, including lowering your heart is because deep breathing sends a signal to
rate, regulating your blood pressure, and as- your brain to relax and calm down.
sisting you in relaxing, all of which can help re-
duce the amount of the stress hormone corti-
sol released into your body.
Incentive Spirometer An incentive spirometer is a device that aids in After surgery, use your incentive spirometer
the recovery of your lungs following surgery or to keep your lungs clear.
a lung ailment.
Effective Coughing After surgery, use your incentive spirometer to Coughing that is controlled saves energy
keep your lungs clear. The effective, or regu- and, as a result, oxygen.
lated, cough originates deep inside the lungs
and has just enough force to loosen and trans-
port mucus down the airways without narrow-
ing or collapsing them.
Position Change The pressure volume (PV) curve of the chest As a result, during a position change, the
wall changes from sitting to supine, but the respiratory system's PV curve follows that of
lungs' curve does not. the chest wall.
3.
3. Describe the common cardiovascular problems for postoperative patients in the clinical unit.
S:\Simulation\STUDENT PREP 2017/481L PREP_PostOpComp012318.docx
Rev LNO 06/18
This study source was downloaded by 100000825980076 from CourseHero.com on 06-06-2023 23:41:30 GMT -05:00
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