Post-Operative Care
·
Eg following a laparotomy
·
Know and watch for complications
·
Analgesia:
o Epidural: watch for low blood pressure
o PCA/PRN narcotic (but watch for constipation from morphine/codeine)
·
Wound care:
o Check not too much blood from drain
o Rough times to leave a drain in for:
§ Laproscopic cholecystectomy/vascular surgery: 1 day
§ Rectal surgery: 3 –4 days
§ Mastectomy: 4 – 7 days (can go home with it in)
§ T-tube for biliary surgery: if latex then 10 – 14 days, if silicon then
3 – 4 weeks
·
Anti-coagulant (eg Clexane)
·
Fluid balance: if elderly
alternate normal saline and dextrose bags (+KCl)
·
NG tube:
o If no aspirate after 24 hours then take it out
o If aspirate is green, leave it in
·
Prophylactic antibiotics: for
uncomplicated laparotomy usually one dose intraoperatively
·
Consider rehabilitation, support
at home, work re-entry
·
Plan follow-up
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