- age: very young and elderly clients are at greater risk
- general health: the presence of infections or other pathophysiology increases risks.
- malnutrition or dehydration (complications: delayed wound healing)
- infection of any kind
- obesity(complications: hypertension, cardiac problems, respiratory problems,delayed wound healing, wound infection)
- cardiac conditions (complications: decreased cardiac output, poor tolerance ofanasthesia)
- respiratory disorders such as asthma (complications: post-op lung infections,poor tolerance of general anasthesia)
- renal disease (complications: fluid and electrolyte imbalance, inadequateexcretion of drugs)
- bleeding disorders (complications: hemorrhage, shock)
- diabetes mellitus (complications: delayed healing, infection)
- liver disease (complications: inability to detoxify medications, hemorrhage,delayed healing)
- neurologic disease (complications: seizures)
- mental status: mental illness, mental retardation, anxiety, and dementia affect the clientsability to cope with surgery. dementia may cause unpredictable response to anasthesia as well.
FOUND IN ATI BOOK PAGE 437
1 comment:
Hi Michelle, just wanted to add what I found in our assigned reading/lecture material as well.....
#5 Risk factors of the surgical client
(Power pt. Lecture 10/12, Lewis, pg. 364)
would potentially be any alterations or abnormalities within the
following areas;
Nutritional status—overnutrition, undernutrition, Hx. Of protein def. Vit. A,C and B complex def.
Respiratory status—Hx of COPD, asthma, acute/chronic respiratory inf., Hx. Of smoking, airway deformities/modifications.
Fluid/electrolyte status—overhydration, dehydration, recent V/D, difficulty swallowing, use of diuretics, renal function.
Immune status—acute/chronic infection, immunosuppressant therapy, compromised immune system.
CV status—Hx of pre existing heart disease, or existing cardiac/circulatory problems, HTN, valvular abnormalities, CHF, arrhythmia’s, MI, angina.
Renal/Hepatic function—Hx. Of renal dz/renal insufficiency, urinary dz., urinary inf., hepatic dysfunction, clotting abnormalities, Hx. Of jaundice, hepatitis, alcohol/drug abuse.
Enocrine—Hx. Of diabetes, hyper/hypothyroidism
Heamtologic—Hx. Of anemia, clotting abnormalities, low/high blood counts, any hematological abnormalities.
Musculoskeletal—mobility factors/restrictions, arthritis, abnormalities.
Nervous system—alterations in normal nervous system function, hearing, vision, and deficits in cognitive function, Hx. Of stoke, cerebral palsy, spinal cord injury, Parkinson’s dz, multiple sclerosis, myasthenia gravis.
(Power pt. Lecture 10/12, Lewis, pg. 364)
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