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PACU QUESTIONS WITH ACTUAL ANSWERS.
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PACU QUESTIONS WITH ACTUAL ANSWERS.
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PACU QUESTIONS WITH ACTUALANSWERS.
Immediate Post-op care ANS -Check/Maintain ABC's, V/S, fluids I&O's, check incisions/tubes, pain
management, LOC and response to stimuli. Nurses get extra training in ACLS, anesthesia, pharmacology,
and pain management to work this floor
Will D/C to floor.. ANS -At least one hour after, must have adequate score on recovery scale, stable V/S,
no overt bleeding, return of gag, cough, and swallow reflexes. Call report before transfering. Must be
transported by PACU RN.
Post-op Nursing Care ANS -Focused assessment r/t type of surgery
O2/IV's, dressings/wounds, tubes, drains,
V/S - Q15x4, Q30x2, Q60x4, (any change from baseline is a first sign of complication)
Respiratory - breath sounds and rate, effects of anesthesia and pain meds
Cardiac/circulation - pulses, color, temp
Neurological - cerebral, sensory/motor
F&E - hydration assessment, I&) (IV's, tubes, drains)
Renal/Urinary system - Special attention to first void, DC foley ASAP
GI System - Nausea/vomiting, return of BS (will determine oral fluids and food return)
Skin assessment - normal wound healing -drainage, complications of wound healing
Interventions ANS -Pain management is high priority - worst in first 48 hours. Asses type of pain. Be
aware of narcotic side effects and its half life. Use diversional interventions
Comfort and rest ANS -Nausea, vomiting - oral care, elevate HOB, anti-emetics PRN, small frequent
amount fluids.
Environmental concerns - noise, monitor visitors
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