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    Problems That Occur Within Pacu Include

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    Alex Pieces
    The document outlines four common problems that can occur in the PACU: 1) obstructed airway, identified by signs like rocking abdomen movements and noisy breathing; 2) inadequate reversal of muscle relaxants, shown by uncoordinated movements and fade of nerve stimulation; 3) pain, which can cause increased observations and need for additional analgesia; and 4) PONV, treated with anti-emetics and ensuring other causes like hypoxia are not present, calling for help if symptoms are not relieved. Actions are described for each problem, like positioning the patient, giving oxygen, and administering prescribed medications while monitoring the patient's status.

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    Problems That Occur Within Pacu Include

    Uploaded by

    Alex Pieces
    26 views3 pages
    The document outlines four common problems that can occur in the PACU: 1) obstructed airway, identified by signs like rocking abdomen movements and noisy breathing; 2) inadequate reversal of muscle relaxants, shown by uncoordinated movements and fade of nerve stimulation; 3) pain, which can cause increased observations and need for additional analgesia; and 4) PONV, treated with anti-emetics and ensuring other causes like hypoxia are not present, calling for help if symptoms are not relieved. Actions are described for each problem, like positioning the patient, giving oxygen, and administering prescribed medications while monitoring the patient's status.

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    PROBLEMS THAT OCCUR WITHIN PACU INCLUDE.docx

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    The document outlines four common problems that can occur in the PACU: 1) obstructed airway, identified by signs like rocking abdomen movements and noisy breathing; 2) inadequate reversal of muscle relaxants, shown by uncoordinated movements and fade of nerve stimulation; 3) pain, which can cause increased observations and need for additional analgesia; and 4) PONV, treated with anti-emetics and ensuring other causes like hypoxia are not present, calling for help if symptoms are not relieved. Actions are described for each problem, like positioning the patient, giving oxygen, and administering prescribed medications while monitoring the patient's status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views3 pages

    Problems That Occur Within Pacu Include

    Uploaded by

    Alex Pieces
    The document outlines four common problems that can occur in the PACU: 1) obstructed airway, identified by signs like rocking abdomen movements and noisy breathing; 2) inadequate reversal of muscle relaxants, shown by uncoordinated movements and fade of nerve stimulation; 3) pain, which can cause increased observations and need for additional analgesia; and 4) PONV, treated with anti-emetics and ensuring other causes like hypoxia are not present, calling for help if symptoms are not relieved. Actions are described for each problem, like positioning the patient, giving oxygen, and administering prescribed medications while monitoring the patient's status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    PROBLEMS THAT OCCUR WITHIN PACU INCLUDE:

    1. Obstructed airway
    Four signs that would alert you to an obstructed airway are:

    Rocking movement of the abdomen as the diaphragm causes negative pressure against an
    obstructed airway

    Marked descent of the trachea during obstructed inspiration

    No misting of the mask

    With partial movement of air through the airway, breathing will be noisy

    2. Inadequate reversal of a muscle relaxant


    The signs that tell you if there is inadequate reversal of a muscle relaxant are:

    Uncoordinated respiratory movements

    Shallow disorganised ventilation

    Uncoordinated twitching movements of muscles

    Nerve stimulation shows fade of tetanic stimulus


    Tip - can be mild with a poor hand grip and patient indicating they have difficulty
    with breathing.

    Action to take in the event of inadequate reversal of a muscle relaxant

    Airway: head tilted back and jaw pushed forward

    Give oxygen

    Call for anaesthetic help

    Talk calmly to patient

    Have neostigmine glycopyrolate or atropine ready for the anaesthetist to administer if


    appropriate
    Tip - Patient may need anaesthesia and repeat intubation.

    3. Pain
    The problems associated with inadequate analgesia

    Action to take in the event of inadequate analgesia


    If a patient is in pain:

    Administer prescribed pain relief

    Review observations including pain scores

    If pain unexpected and not relieved as would be expected call for help

    4. Post Operative Nausea and Vomiting (PONV)


    Treatment of PONV

    Repeat observations

    Ensure PONV is not caused by


    o Hypoxia
    o Low blood pressure
    o Pain

    Administer prescribed anti-emetic

    Repeat observations

    If treatment is unsuccessful call for help

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