MRCP UK EXAMINATIONS

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RESPIRATORY

PATIENT WITH PREVIOUS LUNG SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Raju is plan for a left pneumonectomy .The preoperativeteaching should include that after surgery, the client may not lie in what position
A
On the left side.
B
Flat on the back.
C
On the right side.
D
There is no restriction on how to lie.
Explanation: 

Detailed explanation-1: -Our findings suggest that avoiding the supine positioning after pneumonectomy may facilitate improvements in hemodynamics and a decreased risk of hypoxemia. The optimal position for gas exchange after pneumonectomy is a lateral position, with the remaining lung in the uppermost position.

Detailed explanation-2: -Management of the post pneumonectomy patient Avoid positive pressure ventilation. Chest drains OFF suction. C: Monitor invasively; do not react to hypotension with fluid boluses, as pulmonary oedema may result. Liverpool ICU fluid-restrict their patients to 1500ml from Day 3.

Detailed explanation-3: -The patient is then usually positioned in a lateral decubitus position with the operating side up. Proper positioning of the DLT or the bronchial blocker is usually reconfirmed with the FOB, and single lung ventilation is then started.

Detailed explanation-4: -If you smoke, you need to quit before your surgery. Tell your provider if you have any allergies, including latex. Tell your provider if you’ve ever had a reaction to local or general anesthesia. Daily exercise is an important part of getting ready for surgery. More items

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