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Adult Care GI CH 56 & 57

Terms in this set (114)

-Monitor vital signs, esp blood pressure for indications of internal bleeding
-Assess and manage incisional pain with oral analgesics; report and document severe pain that does not respond to drug therapy immediately
-Encourage deep breathing after surgery, AVOID excessive coughing
-Encourage ambulation with assistance as soon as possible after surgery (within the first few hours)
-Apply ice packs as prescribed to the surgical area
-Assist the patient to void by standing the first time after surgery (Men w/inguinal repair may have trouble voiding
immediately following surgery)
***Teach patients at discharge to:
a. rest for several days after surgery
b. observe the incision sites for redness or drainage, and report these findings to the surgeon
c. Shower after 24 to 36 hours after removing any bandage (do no remove Steri-Strips); be aware that the Steri-Strips will fall off in about a week
d. monitor temperature for the first few days, and report the occurrence of fever
e. do not lift more than 10 pounds until allowed by the surgeon
f. avoid constipation by eating high fiber foods and drinking extra fluids, can use stool softener too
-return to work when allowed by the surgeon usually in 1 to 2 weeks depending on the patients work responsibilities
**Post-op: If O.P. patient will need someone to drive home; if open, patient will be hospitalized for few days; activity may be limited, pain management, watch for s/sx infection, try to avoid coughing - but other respiratory interventions are encouraged
-patients taking opoids should not drive or lift heavy machinery
***Teach patient to observe for redness, swelling, heat, drainage, and increased pain and promptly report these to the provider
AVOID Coughing
(surgeons usually allow them to return to their usually activities after surgery with avoidance of straining and lifting for several weeks while subcutaneous tissues heal and strengthen.