Nursing and Surgical Care: DVT, Pre/Post-Op Procedures, and Risk Factors

Deep Vein thrombosis

blood clot forms in a large vein, usually in a lower limb

Why don't you eat 8 hours/ 12 hours before surgery

So you don't aspirate

Don't want food contents or it will get in lungs during surgery

what do you put on in order when you DON first

Gown,

Mask,

Goggles

GLOVES

What do you TAKE off first when you DON

Gloves,

Gown,

Goggles,

MASK

What do you want to do after surgery for legs/feet?

You want to move them around do little exercises so you don't get DVT

incentive spirometer use

piston rises with each deep inhalation; prevents atelectasis in post op patients; 5-10 breaths per session q hour patient is awake

PRE OP things to say

NPO (nothing by mouth)

Meds

Tobacco and Med use

Prepare the patient for surgery

INFORMED consent

What time surgery is

incentive spirometry steps

1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3

seconds, and then HOLD for 10 seconds

why do we use incentive spirometry post op

to prevent lung collapse

Atelectasis

POST OP recommendations

Deep breathing and coughing

Pillow on the tummy to hold and cough if abdominal surgery

RISK factors of smoking for surgery

Hard for anesthesia to be regulated for smokers

SLower wound healing

RISK factors of obesity for surgery

Difficult intubation

harder for anesthesia to get through takes longer