Case Study About Post Anesthesia

BATAAN PENINSULA STATE UNIVERSITY
MAIN CAMPUS
College of Nursing and Midwifery www.bpsu.edu.ph
City of Balanga, 2100 Bataan bpsu.cnm.2018@gmail.com
OFFICE OF THE DEAN

DANAH GRACE A. SANCHEZ BSN-3A
1.) What are the potential post anesthetic problems that the nurse might expect with Mr.
Richard?
• Postoperative delirium is common in elderly hospitalized patient where it

causes the patient to be confused, disoriented and unaware of surroundings,
and have problems with memory and paying attention. It may not start until a
few days after surgery, may come and go, and usually disappears after about a
week.
• Post-Operative Nausea and Vomiting it can be triggered by several
perioperative stimuli, including opioids, volatile anesthetics, anxiety, adverse
drug reactions, and motion.
• Post anesthetic shivering is one of the leading causes of discomfort in
patients recovering from general anesthesia. It usually results due to
the anesthetic inhibiting the body's thermoregulatory capability, although
cutaneous vasodilation may also be a causative factor.
• Sore Throat is considered a normal and expected issue after surgery,
particularly if general anesthesia was used. Patient may be dehydrated since
she/he weren't allowed to eat or drink before surgery and/or you were allowed
minimal food and fluids after surgery.
➢ During general anesthesia, an endotracheal tube is put into patient’s
mouth and down the throat (Intubation). This tube is then attached to
the ventilator to provide oxygen and breaths during surgery and
potentially during the early stages of recovery.
• Atelectasis general anesthesia is a common cause of atelectasis. It changes
your regular pattern of breathing and affects the exchange of lung gases,
which can cause the air sacs to deflate.
• Dizziness is a common side effects of anesthesia after surgery.
2.) What nursing interventions would be appropriate to prevent these complications from
occurring?
• To prevent short term memory loss orient the patient to their location and the
time multiple times daily
• Making sure the older person has their glasses and/or hearing aids since Mr.
Richard has a hearing problem
• To prevent PONV give Morphine as ordered by doctor because use of other
analgesics such as nonsteroidal anti-inflammatory drugs and regional blocks,
should be implemented can help to reduce the PONV.
• Administering acetaminophen as ordered by doctor during surgery may reduce
the incidence of postoperative shivering.
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mechanism.
MAIN CAMPUS
OFFICE OF THE DEAN

• Careful insertion techniques for both the tracheal tube and laryngeal mask are
of paramount importance in the prevention of airway trauma and postoperative
sore throat.
• Deep breathing exercises and coughing after surgery can reduce patient’s risk
of developing atelectasis.
• Incentive spirometer which can encourage you to take deep breaths to prevent
and treat atelectasis
3.) What factors may predispose Mr. Richard to the following problems: atelectasis,
infection, pulmonary embolism, nausea and vomiting? Why?
• Atelectasis:
➢ Buildup of mucus in the airways
➢ Older age
➢ Confinement to bed with infrequent changes of position
➢ Recent general anesthesia
• Infection:
➢ Presence of Jackson Pratt Drain
➢ Slow healing process because of Mr. Richard’s age (74)
➢ No family or friends to assist with care (wound care)
• Pulmonary Embolism:
➢ Have been inactive or immobile for long periods of time
➢ Having surgery or have broken a bone
➢ Having had severe injuries, burns, or fractures of the hips or thigh bone
➢ Older age
• Nausea and Vomiting:
➢ Use of anesthesia during surgery
4.) How should it be determined when Mr. Richard is sufficiently recovered from general
anesthesia to be discharged to the clinical unit?
• Alert and oriented

• Stable vital signs within normal range
• No complications occurred
5.) What potential postoperative problems might the nurse on the clinical unit expect?
• Infection on surgical sites because there is no relatives for Mr. Richard to care
for him
• Nausea and Vomiting
• Pain on the surgical site
• Fever because of infection

mechanism.
MAIN CAMPUS
OFFICE OF THE DEAN

6.) Based on the assessment data presented, write two or more appropriate nursing
diagnoses. Are there any collaborative problems?
• Risk for infection related to surgical incision

• Impaired mobility related to hip fracture as evidenced by fall
NO COLLABORATIVE PROBLEMS
REFERENCES:
https://www.hindawi.com/journals/arp/2011/748031/
https://www.sciencedaily.com/releases/2017/10/171021143925.htm
https://www.ncbi.nlm.nih.gov/pubmed/16834549
https://www.medicalnewstoday.com/articles/265592.php

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BATAAN PENINSULA STATE UNIVERSITY

OFFICE OF THE DEAN

• Postoperative delirium is common in elderly hospitalized patient where it

Our Vision Our Mission

OFFICE OF THE DEAN

• Alert and oriented

Our Vision Our Mission

OFFICE OF THE DEAN

• Risk for infection related to surgical incision

Our Vision Our Mission

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