Postoperative Hypertension

Ensuring that the medical team is fully aware of any medications the patient has recently or is currently taking is extremely important. Certain medications that may impact the surgery may be mentioned that weren’t mentioned previously before such as anticonvulsants, anti-hypertensives, anti-inflammatories, anticoagulants or any insulin needs that may need attending to prior to surgery. (Merriman and Tran, 2015). Organising any post-operative medications with the doctor and pharmacy as early as possible will also help reduce work after the operation.

In 2003 during the last semester of nursing school, my life was devastated as my ex-husband was arrested as a serial rapist. This was overbearing and I thought this as being impossible to recover from. A breaking point came as I approached a red light deciding whether to deliberately run my minivan into oncoming traffic with my two young children to end our lives. Only days later, I once again felt that I was at the lowest point in my life as the reality of this event truly hit during a medical-surgical examination.

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

The day after the surgery was just as bad as the day of the surgery. I was wheel chaired out of the hospital, and I felt tired, groggy, exhausted, and overall just terrible. On the car ride home my heart was hurting a lot and I was having a lot of irregular issues with my heart. I was having more panic and anxiety attacks. The incision wounds partly reopened so that was really scary. This experience changed me quite a bit and not in a good way. It was one of the worst experiences in my life. It has made me constantly worry about my heart and health. I have really bad anxiety when it comes to my heart. Or anything for that matter. I am always worrying about my heart. This experience changed the way I felt about surgery and what people go through. I dislike surgery so

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

Many residents of long term care, and rehabilitation arrive to a facility as a result of a surgical procedure. Certain surgical procedures have been shown to increase the prevalence of pressure

Patients can become hypertensive during induction, positioning, or tumor resection (12). Chronic catecholamine excess causes volume contraction and patients can become severely hypotensive, as in this case, if adequate volume resuscitation is not performed (12). It is prudent to evaluate for adverse events following hypertensive and hypotensive episodes. Serial neurological evaluations, CT brain, electrocardiograms, or serial cardiac enzymes may be warranted. Complications of surgery are primarily due to severe preoperative hypertension, high secretion tumors, or repeat intervention for recurrence (13). In one study, adverse perioperative events occurred in 32 percent of cases (14). The most common adverse event was sustained hypertension in 25 percent of the patients. There were no perioperative deaths, myocardial infarctions, or cerebrovascular events. Despite premedication of most patients with phenoxybenzamine and a beta-blocker, varying degrees of intraoperative hemodynamic lability occurred

Prior work has explored hospital-level variability (and risk factors) in HAIs after cardiac surgery. Shih used patient characteristics (age, body mass index, cardiovascular disease, smoking status, ejection fraction, dyslipidemia, hypertension, chronic lung disease, immunosuppressive therapy, peripheral arterial disease, diabetes mellitus, congestive heart failure, New York Heart Association class, cardiogenic shock, and anticoagulant usage ) to estimate each center’s predicted rate of HAI. While predicted risk of

In cardiothoracic surgical patients, an incidence of as high as 16-46% has been reported8. This is related to a number of factors that can be encountered during surgery. Mechanical factors like manipulating the heart, pain and sympathetic stimulation can all induce POAF. It can also be related to systemic inflammatory processes, hypotension, hypoxia, anemia and metabolic alterations. These situations can all be expected during anaesthesia. Volatile agents used during anaesthesia may also have antifibrillatory action8.

The patient wakes up after few minutes of the procedure with some dizziness (anesthetic effects) and becomes alert after few hours and can resume normal activities.

Overall, the literature review is strong with relevant primary citations and leaves the reader feeling confident regarding the state of research into post-discharge follow-up care in cardiac surgery patients. The concerns of this population after discharge are enumerated and supported by twenty years of research. In addition, the authors itemize other strategies that have been developed to improve outcomes for this population, while highlighting inconsistencies and the need for further

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

Postoperative care is defined as care that is given between 24 hours and 30 days after surgery (Hutton and Cooper, 2014). Postoperative care is essential to ensure the patient fully recovers from the surgery and is able to return to normal capacity as soon as possible, without complications. The first post-operative assessment was done immediately when Mrs Jones returned from the theatre. A detailed handover was given by the recovery nurse. As a way of evaluating her condition; respiratory, circulatory, neurological,

A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional

The patient should be seated with the feet flat on the floor. The BP is obtained in both arms,