Credits to Ma'am Evangeline Teruel

3.  Reasons for applying a surgical
drain:
1. To collapse surgical dead space
2. To drain abscess
3. To provide early warning notice
of a surgical leak
4. To control an established fistula
leak

6. JP Drain

8. Penrose Drain
Nephrostomy Tube

14. Clear liquid Full liquid Soft diet
Coffee Clear liquid PLUS: All CL and FL
Tea Milk/Milk prod plus:
Carbonated Vegetable juices Meat
drink Cream, butter Vegetables
Bouillon Yogurt Fruits
Clear fruit juice Puddings Breads and
Popsicle Custard cereals
Gelatin Ice cream and Pureed foods
Hard candy sherbet

18. Objectives of Postop Care
Re-establishment of
physiologic equilibrium
Prevention of pain and
complication

19. 1.Promotion of
respiratory
function

20. 2. Promote
cardio-vascular
function and
tissue perfusion

21. 3. Promotion of
fluid and
electrolyte
balance

22. 4. Promotion of
nutrition and
elimination

23. 5. Promotion of
renal function

24. 6.Promotion of
comfort, rest and
freedom from
pain

25. 7. Promotion of
wound healing

26. 8. Promotion of
early movement
and ambulation

27. 9. Prevention of
post-operative
complications

29.  CIRCULATORY COMPLICATIONS:
a. Shock
b. Hemorrhage
c. Thrombophlebitis / deep
thrombophlebitis
 PULMONARY COMPLICATIONS
a. Atelectasis
b. Pneumonia

30.  URINARY DIFFICULTIES
a. Urinary retention
 GASTROINTESTINAL
COMPLICATIONS
a. Paralytic ileus
b. Gas pain
c. Intestinal obstruction
d. Hiccups

31.  Fever
 1 st
24 - Pulmonary infection
 Within 48 - UTI
 Within 72 - wound infection

32. 1. Pneumonia

34. 2.Atelectasis

36. 1.
2.Hemorrhage

38. 2.Shock

39. 3.Thrombophleb
itis (7-14days
PO)

40. 1.Wound
infection

42. 2.Wound
Dehiscence

45. inability to void
(voiding should
return 6-8hrs PO)

47. 1. Abdominal
distention or
paralytic ileus

48. 2. Hiccups

52.  Respiratory  GIT
 Atelectasis  Nausea and vomiting
 Pneumonia (aspiration,  Constipation
hypostatic, infectious)  Ulcer (Cushing’s)
 Embolism  Adynamic ileus
 Cardiovascular  GUT
 Hemorrhage-shock  Urinary retention
 Cardiac arrest  UTI
 DVT  Wound
 Thrombophlebitis  Wound infection
 Musculoskeletal System  Wound dehiscence
 Muscle atrophy  Wound evisceration
 Contractures  Integumentary
 Osteoclast – Fx - ↑Ca  Bed sore
 Nervous System  Psychologic
 Coma  Depression
 Paralysis

53.  Assess readiness for HT
 Assess the need for home care
 Wound care
 Follow up (sutures are removed 7-14
days)
 Resume normal activities gradually
 Avoid lifting for 6 weeks (>10 lbs.)
 Can return to work 6-8 weeks after
 Teach the s/sx of complications

54. To emphasize
 The over-all goal of nursing
care during the PRE-
OPERATIVE phase is to prepare
the patient mentally and
physically for the surgery

55. To emphasize
The over-all goal of
nursing care during the
INTRA-OPERATIVE phase
is to maintain client safety

56. To emphasize
 The over-all goals of nursing care
during the POST-OPERATIVE
phase are to promote healing and
comfort, restore the highest
possible wellness and prevent
associated risk