I am a student preparing to be able to care for a hypothetical 2 day post op total laryngectomy patient. I have gathered a ton of information so far but I am having some difficulties finding some things, and hope you can help. Mainly, what labs should I be monitoring, and why (or where to find this information.. I've been searching for days.. and it doesn't help that my knowledge of labs is pretty poor)? Electrolytes?
I know I need to monitor LOC, suture line, sputum, lung sounds, saO2, pain levels, vital signs, wound drainage, urinary output, adequate fluid intake, infection/necrosis. Is there anything else I should be monitoring, and/or what should cause alarm/need to call the doctor at 2 days post op? What problems am I most concerned with 2 days post op... Respiratory distress, hemorrhage, infection, wound breakdown... anything else?
I know I need to maintain airway (most important), encourage deep breathing and coughing, elevate HOB, suction (w/o trauma to the suture line), suctioning larynectomy tube and nose, trach care, mouth care, provide communication tools, get him up and OOB, ... + teaching. Am I on the right track?
:heartbeat Thanks in advance for any help you may have for me and my hypothetical patient.