The General Approach to the Post-Operative Patient - Podcast Version 0:00 / 0:00 1x 0.25x 0.5x 0.75x 1x 1.25x 1.5x 1.75x 2x Key Points to Remember Perform an ‘End-Of-The-Bed-O-Gram’: Look at the patient. Look at the observation chart. Speak to the nurse. Use the ‘system of 5′: History Examination Onset Progression Duration Associated Symptoms Risk Factors Consent Inspection Palpation Percussion Auscultation Investigations Management Bedside tests Blood tests Microbiology Imaging Specialist tests Does the patient need oxygen? Fluid balance: IV fluids? Urinary catheter? Drugs: Analgesia, Anti-emetic, Antibiotics VTE prophylaxis Escalation Frequent questions What is the first step in assessing a post-operative patient? To assess a post-operative patient, begin with an 'End-Of-The-Bed-O-Gram', which involves observing the patient, reviewing the observation chart, and communicating with the nursing staff. This initial assessment helps to quickly gather essential information about the patient's condition. What does the 'system of 5' refer to in post-operative patient assessment? The 'system of 5' refers to five key components in evaluating a patient: History, Examination, Onset, Progression, and Duration. This structured approach ensures a comprehensive assessment of the patient's status. What are the essential bedside tests for a post-operative patient? Essential bedside tests for a post-operative patient include monitoring vital signs and assessing fluid balance. These tests help determine the need for interventions such as intravenous fluids or oxygen therapy. What management strategies should be considered for a post-operative patient? Management strategies for a post-operative patient may include administering analgesia, anti-emetics, and antibiotics, as well as ensuring VTE prophylaxis. These measures aim to address pain, prevent complications, and promote recovery. How can fluid balance be monitored in a post-operative patient? Fluid balance in a post-operative patient can be monitored by assessing input from intravenous fluids and output through urinary catheterisation. This evaluation is crucial for maintaining hydration and preventing complications. Rate This Article