Question

, include a minimum of three (3) special considerations taken by the intraoperative team for patients under anesthesia.

Answer 1

Monitoring vital signs, airway patency, and neurologic status; managing pain; assessing the surgical site; assessing and maintaining fluid and electrolyte balance; and providing a thorough report of the patient's status to the receiving nurse on the unit, as well as the patient's family.
At greater risk for complications after anesthesia (e.g. laryngospasm, bronchospasm, aspiration, etc.)
Nursing care should include support and reassurance; assessment of child for any skin breakdown related to immobility; and safety precautions.
Adults

They should receive education about what will happen during administration of anesthesia. Expected body reactions should also be explained.
Continuously reassure adult patients during the time that they are aware of their surroundings but they are unable to speak.
Most general anesthetics are not recommended during pregnancy because of potential adverse effects to the fetus.
A period of 4-6 hours after receiving anesthetic is required for lactating women before they can start nursing.
Older adults

They are more susceptible to adverse effects (e.g. CNS, CV, and dermatological effects).
At risk for developing toxicity because of possible hepatic and renal impairment.
Safety measures should be instituted (e.g. side rails, call light, ambulation assistance, and skin care).
Longer monitoring and regular orienting and reassuring is essential.
After general anesthesia, it is important for nurses to promote vigorous pulmonary toilet to decrease the risk of pneumonia.