Problem 3Nursing implications The risk of complications after surgery.O supporting information: a General anaesthetic, the patient saw types of Anesthesia. O: patients undergoing Modified radical mastectomy surgery.O: after surgery, the patient has nausea, vomiting coughing with phlegm. Objectives. No complications after the surgery.Evaluation criteria. -Patients with abnormal bleeding. Normal respiration can I remove phlegm out effectively. Body movement in the early days after the surgery-Vital sign is a regular basis 100 = P-60 times/minute R = 16-24 times/minute T = 36.4-37.5 degrees Celsius. BP = 90/60-120/80 mmHgNursing activities.1.Checke Vital sign before undergoing surgery to compare before and after cutting through the symptoms.2. after surgery back to Check Vital sign every 15 minutes 4 times every 30 min 2 once and for all for 1 hour until the Vital sign will be in regular basis due to surgery to lose blood. As a result, blood circulation disorders Pulse beats slow and saw through the press, which has GA anaesthetic breathing after surgery, the patient may have symptoms, breathing fast or use muscles to breathe, so they often sign CheckVital helps detect abnormalities of the blood circulation and respiration has (supani SOE na di Sayid, 2547 (2004): page 692-698)3. observe the appearance of pale skin, dry up, hot or cold, and the level of consciousness of a patient review surgical incisions that ooze blood or anything out of line supervision. Radivac drain plug into the bottle, already noticed blood inside the bottle if more than 200 cc., the cable Clamp per hour, I found a doctor to report observed, bleeding, and blood, and the substance is very irregular flow, which may be harmful to the patient, causing shock and blood loss from those exposed to it (60 pages-phut linchong 69: Moon)4. Observe complications from goverment anaesthetic nausea, vomiting, kidney shape Bowl preparation, bedside or near the patient, and the patient coughing to remove phlegm out effectively due to the Government General Anesthesis type sodium Guard will have an effect on respiration and circulation system. When a patient feels may cause nausea, vomiting, rapid breathing and a lot are Observe, so saliva reduces cholesterol complications very closely to prevent complications that can cause hazard to the patient include vomiting, choked into the lungs (supani. SOE Nadi Sayid, 2547 (2004): 692 pages)5. the patient breath deep and remove the phlegm out. Be careful not to let the patient choked Vomit into the lungsBecause of the surgery, causing obstruction of the trachea in the lungs and cause pain in some of the deep breathing, cough, which helps the lungs expand and the steam will help to get rid of phlegm that exist to prevent blockage in the windpipe (supani. SOE Nadi Sayid, 2547 (2004): page 681)6. encourage the patient with the movement after the surgery as soon as the patient is limbs after surgery are helping themselves to observe and take care not to sit for very long toes dangle.Because the surgery could cause inflammation of the vein, and the blood that has come on the ice contribute to the incidence of blocked circulation in the veins, it must provide the patient with the movement after surgery, to prevent the incidence of partitions in the veins and not to sit for very long because the foot dangle would make a comfy foot area of the blood.7. lift the wood blocking beds because of back surgery. The patient may also rarely feel good. Saluemot wooden raised bed barrier to starvation to prevent patients falling and potentially (supani. SOE Nadi Sayid, 696-698) page: 2547 (2004)8. to promote the work of Radivacdrian thermal Radivac monitoring of the drain wire is not broken or bent, folded, rolled onto the drain line clogged Radivacdrain. Every 1-2 hours due to the drain Radivac drain is the blood shed by the lasan can have sludge blood clot or blockage of blood coming to cable and wire cooling shed copied out are not to check the wiring to prevent sludge or blood clot had choked the voices of the late bottle. Radivac drain if full, change principles by bottle and clamp the drain wire-free at all times to prevent infections and the blood shed and the substance while changing the administrative bottle, bottle. Radivac drain vacuum is always so by looking at the bottle cap as the safa vacuum shrink. If this is not the vacuum safa will be expanded due to a Radivac drain is not a vacuum and suck the blood sacha can no longer exclude the secretion jar placement. Radivac drain, located in the lower level of the wound to prevent back flow of blood and secretions. Not recommended for patients with very strong out on the side of the drain Radivac holders: do not use pipe holder arm drag or pull a heavy drain on our Radivac to prevent Radivac of drain (linchong 69 60 pages: is Monday-phut)9. If a patient complains of pain a lot, every vein and mg 3 pill Morphin 6 hours according to the physician's treatment plan.Because if the patient has a large wound pain may cause symptoms of hyperthyroidism can cause shock and feel restless, Kanagawa. It's Morphin 3 mg pills, every vein 6 hours according to the physician's treatment plan is to relieve pain and prevent the symptoms feel restless and was exposed to very painful shock from WA.10. notice side effects of the drug if there are 3 mg Morphin experience side effects such as nausea, vomiting, pills 10 mg every 8 hours, Plasil, as medical treatment plan.To relieve nausea, vomiting (Levitating, melodious, 2554 (2011))Assessment.-Patients with abnormal bleeding. Normal respiration can I remove phlegm out. Body motion in 2 days after surgery with nausea, but not vomiting.-Vital sign value is P = 80 times/min R = 20 times/minute T = 36.8 degrees Celsius = 100 BP/70 mmHg.The problem of obstacles in implementing the plan-The patient is complaining of pain and so does not provide medication to all 3 vein 6 Morphin mg Plasil10 mg 8 hours and every hour, according to the doctor's treatment plan.To improve evaluation performance-Find out more about complications after surgery and symptoms within nested transaction from the Government hospital anaesthetic to make complete and valid.
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