Table of Contents
What is pre and postoperative nursing care?
Post operative care monitors a patient’s recovery by controlling pain, watching for infection, and assessing for postoperative complications that may arise. Pre-op nursing care begins when the patient is scheduled for surgery until the time the patient is on the surgical table.
What should a nurse assess after a thyroidectomy?
To assess for this, you’ll want to assess the quality of the patient’s voice. Hoarseness or difficulty forming sound could be an indicator of laryngeal nerve damage. In addition to damage to the laryngeal nerve, hypoglossal nerve damage can also occur. To assess for this, have the patient extend their tongue.
What are the preoperative nursing responsibilities?
Specifically, responsibilities and duties of a perioperative nurse include:
- Working with patients prior to surgery to complete paperwork, and help answer questions or calm fears about surgery.
- Monitoring a patient’s condition during and after surgery.
What is the most important complication to monitor when caring for a patient after thyroidectomy?
Hypocalcemia is the most frequent, symptomatic or asymptomatic, rebleeding with hematoma, laryngeal nerve injury, acute pain or infection as the most important. There is a series of care that favors the early detection of these and other things.
What is the position after thyroidectomy?
The American Thyroid Association also recommended to keep the patient in a head-up at 45°-Fowler’s position in the post anesthesia care unit following thyroidectomy to prevent hematoma formation on the incision site by facilitating venous return from the head and neck.
What is the position for thyroidectomy?
Positioning. The patient should be placed in a supine position with the apex of the patient’s head at the top of the operating bed. A shoulder roll or gel pad should be placed at the level of the acromion process of the scapula to help extend the neck.
What are the components of pre operative care?
Preoperative Care
- General Preoperative Evaluation.
- Preoperative Cardiovascular Evaluation.
- Preoperative Pulmonary Evaluation.
- System-specific Evaluations.
- Anesthesia Evaluation and Preoperative Preparation.
- References.
What is the complication of thyroidectomy?
Major postoperative complications include wound infection, bleeding, airway obstruction (compressing hematoma, tracheomalacia), hypocalcemia, thyroid storm (uncommon, usually associated with Grave’s disease) and recurrent laryngeal nerve injury.