Postoperative

Question: How much postoperative pain medication is typically prescribed following routine wisdom teeth extraction? I am about to have my wisdom teeth removed because one is partially impacted and another is partially erupted with the gum grown over it. I am slightly concerned about pain afterwards because honestly my threshold is pretty low. Does the Dentist/Oral and Maxillofacial Surgeon usually prescribe enough medications for only the first 24 hours or for a few days. Thanks.

Answer: I had 4 wisdom teeth taken out and I was prescribed 20 Vicodin afterwards. But he told me to call if I needed more or if the pain persisted. They lasted for a few days although at first I had to take 2 at a time. Good luck to you!

Question: what is the typical dose of morphine (mg/kg via IV or IM) in postoperative pain? I am reading articles comparing doses of buprenorphine in acute postoperative pain and the studies compare buprenorphine to morphine 10 and 15 mg. I want to know if 10 and 15 mg of morphine IV/IM is considered to be a low or high dose. The patients are opiate naive.

Answer: 0.1 to 0.15 mg/kg is a standard dose, and gives reasonable analgesia in about half or two thirds of patients. But morphine is easily titratable, so the gap isn't much of a problem.

Question: What does drug code mean past postoperative surgery? Bleeding at operative site and very low blood pressure. Can drugs stabilize The bleeding and low blood pressure?

Answer: Vasopressors or "pressors" can be given to stabilizer a patient's blood pressure, these include Levophed, Vasopressin, Dopamine, and Neo-Synephrine (spelling could be wrong). These drips are started when a patient has critically low BP such as when the Systolic or top number in the BP is in the 70s or below. Above that, the patient will recieve fluid boluses or blood product if the patient is bleeding out. For the bleeding the patient would probably recieve Packed Red Blood Cells (PRBCs) Platlets, Fresh Frozen Plasma (FFPs) or a combination. There is also a non-blood product that will help with bleeding, but I can;t remember what it is right now. Just remember that every patient and situation is different, and this is only what I have experienced

Question: I am having a colon resection on Wednesday, how bad is the postoperative pain and how long will it last? Any extra information would be appreciated.

Answer: How you do postoperatively and how long it takes for you to recover depend on the type of operation done. If you have the traditional open abdominal surgery it will take longer than if they do a laparoscopic surgery. Also it depends on if the colostomy is intended to be only temporary or permanent. You will ordinarily expect to be in the hospital for 5-7 days, and you won't be eating a lot for the first few days. Complete recovery can take 2 months or so, depending on how well you heal and what further complications there are. If the colostomy is meant to be temporary, you will have another surgery scheduled after this to close the opening. In most hospitals, you should be gotten up out of bed within about 12 hours of the surgery. As hard as it will be to motivate yourself to get up, it will be much better for you and you will recover faster if you do get up as often as you can manage it, and the sooner you do get up the better it will be. The first time up on your feet is the hardest, and if you can pull it off in the first 8 hours or so, you can take advantage of all the pain killers left over from surgery. You will be very stiff and sore, and slow moving, but that's okay. The idea is to get back on your feet, not to see how quickly you can move. The nurses will want you to go to the bathroom and have a drink, to see the kidneys are functioning and that you can hold fluids. Your diet the first few days will start off as a liquid diet, and go to a very soft diet in a day. Lots of juice, broth and jello. If you do okay with that, then you'll get a progressively more appetizing diet (well, for hospital food anyway), until you get back to a full normal diet. You will have gassy cramps those first few days, complaints from an empty system as it starts things moving along again. The dietician will visit you to discuss how to arrange your diet for the first bit home, and what things to watch for. The nurses will give you lessons in how to clean the colostomy and how to change bags, and somebody should visit you to tell you where you can purchase supplies in the future. It may all seem overwhelming at first, so if you need to, ask for the name of a local support group to help you. They can be very supportive and full of ideas to help you along the road to recovery. And sometimes it helps to speak with somebody in the same boat as you, frankly. If your colostomy is permanent, you will spend the next few months adapting to it, and the few changes it will require. For the most part, nothing in your life will be un-doable, although it may require some adaptations. You would still be able to do nearly any physical activity you like. Depending on the location, you might have to adapt the waistbands of some clothing so it fits looser, but otherwise, nobody will know who doesn't get told. This is one area where the support group members can really be a help, so you don't have to find everything out through trial and error, or the hard way. And won't have to feel any embarassment asking the questions, either. Colon resections can be frightening, but as a rule, once you are through the worst of the recoperation process, usually the first month, you do feel noticeably better. The symptoms which caused you problems should have all disappeared, and you will feel more like your old self again. Just don't lose heart. Drag yourself up out on the bed, force yourself to get moving and keep on moving. Rest as you need, but don't let yourself crawl into any shell. Find a support group, and ask all the questions you need to. If need be, get the answers before you leave the hospital and don't let them off with promises. Good luck with your surgery, and with getting back to the rest of your life.

Question: How do I get rid of postoperative adhesions from liposuction?????

Answer: Adhesions can be caused by small bits of loose tissue not cleared from the body cavity after any invasive surgery. Surgeons refer to them as floaters. The bits can start an injury and "healing" response between 2 areas of any organ or wall. Minor ones can disconnect, major ones are removed by surgery. Normal activity is the only method to reduce adhesions.

Question: RATIONALE of why patient who undergo postoperative need to lay on supine position for 8-12 hours?

Answer: It all depends on the type of surgery that the patient goes for. For the patient, he or she feels exhausted after the operation and he or she feels more comfortable to lay supine. Another reason is, the healthcare workers can observe the patient easier and better. At one glance, the healthcare workers are able to know whether the patient is all right.

Question: i have a very serious problem that my sister is 20 years old and she is postoperative diagnos high grade retro? Dear sir I have a serious problem recently my sister(20yrs) is postoperatively diagnosed leiomyosarcoma, of high grade retroperitoneal, but there is lungs ct scan is normal, should we go for chemo therepy or radiation therapy, or not, what is the merits or what Is demerits, please help me, thank u

Answer: My mon was diagnosed with the same a year ago and her lung scan was clear. She have been cancer free. It was located right next to her kidney and ureter. What is the margins when they removed it, where is it located? Are the margins clear. If some of the margins are clear and can be radiated do it. You are probably feeling the same way I felt. This diagnosis take a huge toll on the family too. Look at this site and it will tell you what they think should be done. Pray and don't give up. Yeah you will cry everytime you think about it but weigh out the options. You have to register for the site to get the info on LMS http://www.nccn.org/professionals/physician_gls/f_guidelines.asp

Question: what is the pre and postoperative for patient under conscious sedation?

Answer: simplyfaith- Conscious Sedation? This type of sedation induces an altered state of consciousness that minimizes pain and discomfort through the use of pain relievers and sedatives. Patients, who receive conscious sedation usually are able to speak and respond to verbal cues throughout the procedure, communicating any discomfort they experience to the provider. A brief period of amnesia may erase any memory of the procedure. A brief period of amnesia after the procedure may follow the administration of conscious sedation. Occasional side effects may include headache, hangover, nausea and vomiting or unpleasant memories of the surgical experience. A qualified provider monitors the patient immediately following the procedure. Written postoperative care instructions should be given to the patient to take home. Patients should not drive a vehicle, operate dangerous equipment or make any important decisions for at least 24 hours after receiving conscious sedation. A follow-up phone call usually is made by the healthcare provider to check on the patient's condition and answer any remaining questions.

Question: what does increased diastolic pressure in postoperative period indicate?

Answer: pls read http://www.ncbi.nlm.nih.gov/pubmed/6471347

Question: What are pre, mid, and postoperative problems that an entrepreneurship has to face while starting new enterpri

Answer: The biggest issue that most new businesses face is undercapitalization. Startups also have a rough time getting to the next level in their growth as well, because finding a key employee that would deliver the goods and services the way you would and stay in budget is very hard to do.

Question: what is the position a patient who has just undergone a tonsillectomy in the immediate postoperative period?

Answer: on their back with their head slightly raised

Question: what are the psychological preparations during postoperative surgery? help pls

Answer: Psychological preparations? Please... Just be man and get the surgery. You don't need to "express your feelings" or "open up" to a crook therapist before getting a surgery. Grow some balls.

Question: i need postoperative orders for a pt. who underwent an abdominal hysterectomy? I need some immediate postoperative instructions on what to do with a patient who has undergone a total abdominal hysterectomy

Answer: Is this person in the hopspital? The pt. should rest and no heavy lifting, soft foods until first BM, take Colace and pain pills

Question: why do male patient have a quicker postoperative from coronary artery disease bypass grafts than do female pat?

Answer: I am assuming your assertion is correct but I can not say I have ever seen data on the matter. If correct, here's one possibility: Male pts have more serious cardiac disease earlier in life. As a result it is probable that they have by-pass procedures earlier in life. One rule about open heart recovery is that the healthier a person is prior to the surgery (no other major disease or disability especially in the kidneys or lungs, for instance) the quicker they will recover after surgery. This would be a logical answer.

Question: what is the rational for the patient need to be in bedrest after postoperative?

Answer: depending on the operation, it may range from 1-2 days in things like simple surgeries, like a Cesarean section, to 3-4 weeks for things like brain surgery.

Question: can anyone give me the nursing interventions and drugs precribed for CHRONIC ANEMIA of the POSTOPERATIVE.tnx!? I have a report about this on July 17, hope someone can help me. Thanks so much!!!

Answer: go for the basics first...like "risk for infection" Drugs...again basic...oral iron tabs, which then have the possibility for constipation-so ? fluid imbalance... Good luck!

Question: Cataract - IOL Hard plastic lenses - postoperative recovery period? My mother got operated for Cataract and hard plastic lense was used instead of soft .(The decision was made by surgeon). I have been told that the only difference is that the patients with hard lense take longer time to recovery and otherwise they both are of same quality -- Is that correct ? Also - - How much time does it take for a person to recover to remove the bandage on the eye., open it for the vision check.

Answer: Yes. The rigid lenses require a larger incision in the eye to place them. Stitches may or may not have been required. They may even be marginally of higher optical quality, but they are certainly not lower. The vision should be present, and reasonably good, almost instantly. (subject to the performance ability of the rest of the eye). The surgeon will advise on the timing. What can't be determined for a while is the exact final refraction. I would tend to prefer six weeks before being sure that the new prescription is stable. Although most people are fine after four weeks, I've definitely had a few where surgeons have given the OK to refract, only to find two, three, weeks later their vision has slipped a bit. (and they're not that happy paying to replace two-week-old lenses, as a rule.) If the residual refractive error is quite large, and sufficiently troublesome, a temporary Rx may be worthwhile, but this should normally be done in the cheapest form available: no photochromic or varifocal lenses. The frame can be whatever desired: that can be re-used with the final Rx. Optometrist, retired.

Question: What postoperative drug sounds like Clivix or Quivex??

Answer: Keflex (Cefalexin) is a common postoperative antibiotic.

Question: A patient received Morphine Sulfate, 10 mg IV, two hours ago for standard postoperative pain. She is now cryin A patient received Morphine Sulfate, 10 mg IV, two hours ago for standard postoperative pain. She is now crying and complaining of continued pain. Is this an example of pain threshold or pain tolerance? Explain why

Answer: Sarah, I think you need to be doing your own homework. Grab your med-surg book, medical dictionary, lecture notes, etc. and study hard. You could always form a study group if you are wanting to bounce ideas and solutions off each other. If you don't learn the material, a patient will eventually pay the price. Additionally, these are simple knowledge based questions. If you don't learn how to answer these, you'll drown with comprehension and application based questions.

Question: Can you give me information on the effects of postoperative smoking (cigarettes) on the healing process.? I know it doesn't help, thats what i'm trying to tell a friend. I would like some numbers or facts to show her. (Researcharticles or such) Thank you

Answer: One of the reasons that I quit smoking was because I was a skier and my hands were always freezing, no matter how much stuff I wore. I saw a film clip using thermal imaging of a man in a chair smoking a cigarette. Great snakes, the changes that occurred in his circulation system were amazing. I looked at that and said "hey, that is my freezing hands for sure". Quit. And gave up most of my gloves. Smoking causes an immediate constriction of your circulatory system. That is not a good idea if you are trying to recover from something.