POSTOPERATIVE CARE POST ANESTHESIA CARE Get baseline assessment of the patient  Nursing Responsibilities 1.

Maintenance of pulmonary ventilation Position of side lying or semi prone position to prevent position Oropharyngeal or nasopharyngeal airway is left on place following administration of general anesthetic until pharyngeal reflexes have returned (remove when patient is awake and regained the cough and swallowing reflex). All patient should receive O2 at least until they are conscious and are able to take deep breaths on command. Shivering of the patient must be avoided to prevent an increase in O2 should be administered until shivering has ceased. 2. Maintenance of circulation. Most common encountered cardiovascular complications post anesthetic.  Hypotension A. Causes: 1. Moving a patient from O.R to his bed, jarring during transport. 2. Reaction to drug and anesthesia. 3. Loss of blood and other body fluids. 4. Cardiac arrhythmias and cardiac failure. 5. Inadequate ventilation. 6. Pain. B. Assessment: a. Weak thread pulse with a significant drop in B.P may indicate hemorrhage or circulatory failure. b. Skin cold, moist, pale, cyanotic. c. Restlessness or apprehension.  Cardiac Arrythmias: A. Causes: a. Hypoxemia b. Hypercapnia c. Intervention a. Oxygen therapy b. Drug administration Lidocaine (xylocaine); procainamide (pronestyl).