| Respiratory Nursing | | |  |
|  | Nursing Care of Clients with Respiratory Problem Undergoing Surgical Intervention | |
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 | | Post-operative Care | | | |
| | Patient | 1. | Escort patient back from OT to ward or H.D. care | 2. | Remove OT gown, socks and cap | 3. | Put on patient's pyjamas, provide | 4. | Prop up position 60° | 5. | 24% O2 mask with flowmeter on | 6. | Oximeter for SaO2 monitoring | | | | |
 | | 7. | Dianamap for BP/P reading Q1H on OT day, then Q4H | 8. | Care of IV drip/ PCA/ Epidural | 9. | Care of chest drain under water seal drainage system | | | |  |
| 10. | Wound management | | Main wound dressing keep intact Drain wound dressing PRN Stitches | | | | How to care patient with chest drain system? |
| 11. | Steam inhalation | 12. | Skin pressure are care | 13. | Bed bath | 14. | Urine output - insert Foley catheter if indicated | | | | |
| 15. | Diet | | NPO x 6 hrs. Resume diet as tolerated IV therapy replace till PCA/Epidural analgesics is discontinued | | | | |
| 16. | Arrange CXR D0-D3 and as required | | Ensure proper position of chest tube Ensure lung expansion Excluding haemorrhage | | | | |
| 17. | Physiotherapy | | Deep breathing and coughing exercise, incentive spirometry Sit out of bed, early mobilization Limb exercise Proper body position Pulmonary rehabilitation program | | | | You should learn this ! a. Splinting techniques b. Arm and shoulder exercise |
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