Principles of Pre operative and Post operative nursing care of Paediatric patients
Preoperative Care
1. Assessment
2. Vital sign
3. Anaesthesia assessment
4. Informed consent written
5.. Patient belongings
6. NPO 24 hours depend upon surgery
7. Antibiotic therapy; before surgery, before 1 years
8. Patient identification band
9. IV Cannulation
10. Dentures are removed (metal)
11. Shifting patient to operation theater
12. Coordinating with the OT staff for any requirements during and post surgery.
13. Nursing documentation
Pre operatiive ---- Intraoperative------ Post operative
Post operative care
1. Assessment of general condition
Conscious level
Range of motion
Operated site
Alertness
2. Vital sign assessment after every 30 minutes and patient gtes normal.
3. Intake, output assessment
4. Assessng the NPO status
5. IV medications, fluids, antibiotics
6. Catheter or NG tube feeding care
7. Assessment of IV line, feeding tube catheter or suture line
8. NPO status; after surgery doesn't take diet before 24 hours, when patient pass flatus then start with liquid diet, semi solid and solid diet.
9. If the general assessment and Vitals are stable than patient has shifted into the ward.
10. Pain management
11. Prevent risk of infection
12. Change the Dressing
13. Bathing
14. Dietary management
15. Activity
16. Follow-ups
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