Exam (elaborations)
PACU TEST QUESTIONS AND ANSWERS ( THINGS TO KNOW)
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PACU TEST QUESTIONS AND ANSWERS ( THINGS TO KNOW)...
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PACU TEST QUESTIONS AND ANSWERS (THINGS TO KNOW)
PACU nurses help patients recover from the effects of anaesthesia. (helps them
regain ABC)
Step 1: Receive the anaesthetist's report and assess the wound.
2. Monitor the VS every 15 minutes and chart
3. Take pain and n/v medications as prescribed by your doctor. (IV push,
oxygen, encouraging deep breathing)
4. Patients wake up in 15 to 30 minutes to become completely conscious and
achieve VS stability;
5. Understand that older patients, with COPD, upper abdominal surgery, and
thoracic surgery frequently require extra oxygen.
6. Understand that longer surgeries result in higher concentrations of anaesthetic
in their tissues, thus they wake up more slowly.
7. Understand that persons with liver or renal problems recover from
anaesthesia more slowly. (Metabolism, excretion issue?)
Adrete score: ANSWER Activity 2: Moves well.
Respiration: 2. Deep breaths and coughs.
Circulation: 2. Blood pressure within 20 of the pre-anesthesia level
Consciousness: 2. Completely awake.
O2Sat: 2: greater than 92; 1: more than 90% on supplemental oxygen.
To be released from the PACU, patients must be awake and orientated, with
clear airways and the ability to breathe autonomously.
3. satisfactory vital signs for 15–30 minutes
4. tolerates discomfort; additional 20 minutes following pain medication
treatment.
5. No vomiting 6. No hypothermia 7. No bleeding.
, 8. Patients undergoing regional anaesthesia must be able to feel and move their
extremities.
3 Lead ECG - ANSWER White is on the right, and red is at the bottom left.
https://prezi.com/-qkl30xfzmqq/3-lead-ecg-interpretation/
NSAIDS include aspirin, acetaminophen, ibuprofen, ketorolac, and ketoprofen.
Morphine, codeine, medepridine, and fentanyl are all opioid analgesics.
Side effects of opioids - ANSWER Respiratory depression, N/V, sedation,
constipation, addiction or dependence
Signs of Narcotic Toxicity: ANSWER 1. Unresponsive
2. Respiratory less than seven.
3. Bradycardia.
4. Identify pupils
Naloxone is an antidote.
Respiratory complications: ANSWER Respiratory issues account for two-thirds
of serious events (in relation to anaesthesia).
1. Airway obstruction
2. Hypoxaemia.
Tx: 1. Evaluate the ANSWER.
2. Clear the airway obstruction.
3. Mask O2 ventilate (there was no ambu bag present)
4. Intubate and secure as needed.
5. Look for the root cause. ABG, CBC, and CXR
Failure to Regain Consciousness: ANSWER 1. Residual anaesthetics:
intravenous or inhaled.
2. Profound neuromuscular block.
3. Profound hypothermia.
4. Electrolyte abnormalities.
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