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Post operative (complications (DVT (Prevent (low risk preventitives (ted…

- - - - risk of pneumonia, atelectasis from not deep breaths, LOW RATE LOW STATS = risk for atelectesis
  - - - want bonchials to relax and open airway, nebs
  - - - sit on bed befoe getting up
  - - - low risk preventitives
        
        ted hose/compression stockings
        
        SCD sequencial compression device
      - High risk preventitives
        
        Heperin 5000 units subq Q8 (not full anti coagulant, profulactic) anticoag is a drip
        
        Levonox 30-40 mg qday - BID subq (not fully coagulated) if anticoag its 1mg/kg
        
        excreted by kidney so check creatinine, very dependant on kidney
    - - red warm swollen tender extremity
  - - - listen for 5 minutes each quadrant
        
        walking and reglan
  - - - give them 6 hours to void
        
        no void, bladder scan
        
        lots of urine, straight cath
        
        low urine output
        
        during surgery, lots of fluid shift
        
        fluid seeps out into interstitial space causing low urine output
        
        use bladder scan
        
        if nothing in there, oliguria
- - - - wake up enough to yank the tube, some patients remember.
        
        1) removal of advanced airway and making sure things are stable tone and upper airway are coming back, maintain stats, follow commands. must be able to wake easily
        2) once awake before sent to floor or discharged, out of danger, temp up. HR and BP within 20% of norm for all vitals. Monitoring phase.
- - - - diabetes
      - obesity
      - smoking
- - - - after surgery hitting 500's pneumonia is coming
- - - - if aren't awake enough to take out breathing tube, goes ICE
      - not back to baseline 20% admitted to floor
    - - usually little guys
        
        waking up like they are possesed, screaming freaking out
        
        once metabolized, they're fine
      - young men too freaking out, pull and yank everything on face and mouth
- - - - may take week to months to get back to baseline if at all
        
        doesn't mean anything went wrong
- - - - fever in emergent phase, malkignant hyperthermia
        
        about 3 days out fever usually atelectisis
        
        week out fever either pneumionia or surgical site infection