Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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Postdischarge nausea and vomiting (PDNV) is a serious threat to the recovery of ambulatory surgical patients. Pharmacological interventions available before discharge are not readily available to the patient after discharge; therefore, the activities that patients perform to manage new-onset PDNV may affect their surgical recovery. Assembled from a comprehensive study of PDNV, this paper describes the self-care activities that ambulatory patients use to manage new-onset nausea and vomiting after discharge. The findings have implications for patient education and future research.
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J. Perianesth. Nurs. · Jun 2005
Review Case ReportsWhen your patient is from the obstetric department: postpartum hemorrhage and massive transfusion.
When caring for patients receiving massive transfusion, the nurse will be required to perform ongoing assessments and apply critical thinking to provide optimum care and avoid further complications. The perianesthesia nurse must be aware of the hemodynamic and coagulation changes of pregnancy when caring for an obstetric patient in the PACU to optimize patient outcomes. Understanding the causes of obstetric hemorrhage, which may result in the need for massive transfusion, will enable the nurse to anticipate and prevent potentially deadly complications.
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J. Perianesth. Nurs. · Jun 2005
ReviewPerioperative assessment of the obstetric patient undergoing abdominal surgery.
Care of the obstetric patient undergoing nonobstetric surgery can be challenging. Approximately 1 in 500 pregnancies is complicated by a nonobstetric surgical condition. To adequately care for the mother and fetus, the nurse must know the physiological changes that occur during pregnancy, and make an aggressive attempt to maintain those changes. This article reviews common reasons for abdominal surgery during pregnancy, the physiological changes that occur during pregnancy, techniques to maintain those responses, and discusses issues related to fetal monitoring and postoperative care.