COMPLICATION

PREVENTION

COMMON CAUSES

OCCURANCE

MANIFESTATIONS

Atelectasis

Cough and deep breathe Cough and deep breathe

Shallow repirations

First 48 hours After 48 hours

Fever, increased pulse and respiration Fever, increased pulse and respiration, crackles and ronchi Confusion , increased BP and pulse,SOB Decreased BP, pulses, cold clammy pale skin

Hypostatic pneumonia

Shallow respirations

Hypoxia

Cough and deep breathe, ambulation and turning Assess routinely for signs of Shock identify populations at risk, monitor for bleeding

Anesthesia causing 48 hours depressed respirations Loss of fluids and electrolytes, bleeding from wound or surgical site 48 hours

Shock

COMPLICATION

PREVENTION

COMMON CAUSES

OCCURANCE

MANIFESTATIONS

Thromboplebitis

Leg exercises, Elastic stocking, identify at risk populations for intervention

Venous stasis, Iv irritation, pressure to legs

7-14 days

Redness, warmth, pain and swelling at the side

Urinary retention

Upright to void(male) -monitor I and O Monitor site for bleeding

Medications (narcotic) -Local edema Slipping of suture, wound evisceration Poor aseptic technique, debilitated, obesity

2-3 Days -Inability to void

-restlessness -bladder distention

Wound hemorrhage

Immediately or later

signs of shock bleeding(sanguinous drainage) from tubes or site of surgery Wound area red and edematous, increased pain in the incisioanal area, increase in the amount and/or change in the character of the drainage to be purulent

Wound infection

Maintain nutritional status -Maintain aseptic technique with manipulations of dressings

3-5 days

COMPLICATION

PREVENTION

COMMON CAUSES

OCCURANCE

MANIFESTATIONS

Wound dehiscence and Evisceration

Identify those ate risk -Maintain nutritional status in high risk populations

Debilitated, obese, elderly

4-15 days

Wound opens and contents may come out onto abdominal area Intervention: place sterile saline soaked gauze over site and place in recumbent position Dysuria, hematuria, urgency, frequency,

Urinary tract infection

Maintain sterility of catheter, increase fluids -remove catheter as soon as possible

Indwelling catheter, urinary post anesthesia

5-8 days