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As per available reports about 24 Conferences, are presently dedicated exclusively to Postoperative drug monitoring and about 13 articles are being published on Postoperative drug monitoring.
Good post-operative drug monitoring will have started before the procedure with appropriate counseling and preparation. This preparation will have included an assessment of fitness for the procedure and identification and management of any risk factors. The patient will have been provided with a clear explanation of the procedure (emergency or elective), the risk-benefits and the likely outcome. This will have included a description of what the patient should expect in terms of short- and long-term recovery from the procedure, possible complications and the necessity for any drains, stomas, catheters or other bits of tubing, normally alien to most of the population. The patient will have been reassured about pain control measures and, perhaps most difficult of all, the doctor will have tried to ensure that the patient's expectations match those of the health professional.
Depending on the nature of the procedure and the underlying state of health of the patient, the vital signs (blood pressure, pulse and respiratory state) will be measured and recorded regularly. If an arterial catheter has been inserted, blood pressure and pulse readings can be observed on a monitor constantly. The intensity and frequency of monitoring will be maximal in the recovery room and this level of scrutiny maintained if the patient is in an intensive care or high dependency area.
Measurement of the central venous pressure may be required for patients with poor cardio respiratory reserve or where there have been large volumes of fluid administered or major fluid shifts are expected.
The patient chart will also record all fluid that has been given during and since the operation, together with fluid lost. Ideally, these figures will have been balanced by the end of the procedure, so that the duty of the attending doctor will be to monitor ongoing losses (digestive and urinary tracts, drains, stomas) and replace these. The normal daily fluid and electrolyte requirements will also be provided. If there has been major fluid shifts or if renal function is precarious, a urinary catheter will be inserted and regular (hourly) checks made of fluid losses. Serum electrolytes and haematological values will be checked frequently, again the frequency depending on any abnormalities present and the magnitude of any fluid and electrolyte replacement.
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