Figure 8-7. Closed suction device.
8-23. POSTOPERATIVE PATIENT CARE ACCORDING TO BODY SYSTEM
a. Respiratory System. The cough reflex is suppressed during surgery and
mucous accumulates in the trachea and bronchi. After surgery, respiration is less effective
because of the anesthesia and pain medication, and because deep respirations cause
pain at the incision site. As a result, the alveoli do not inflate and may collapse, and
retained secretions increase the potential for respiratory infection and atelectasis.
Turn the patient as ordered.
Ambulate the patient as ordered.
(3) If permitted, place the patient in a semi-Fowler's position, with support for
the neck and shoulders, to aid lung expansion.
(4) Reinforce the deep breathing exercises the patient was taught
preoperatively. Deep breathing exercises hyperventilate the alveoli and prevent their
collapse, improve lung expansion and volume, help to expel anesthetic gases and mucus,
and facilitate oxygenation of tissues. Ask the patient to:
Exhale gently and completely.
Inhale through the nose gently and completely.
Hold his breath and mentally count to three.
Exhale as completely as possible through pursed lips as if to whistle.
Repeat these steps three times every hour while awake.