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Post Operative Order and Complication Of Thyroid Surgery

Post-Operative Orders for Thyroid Surgery

1. Monitoring:

• Vital signs regularly.

• Neurological checks for voice and swallowing changes.

• Serum calcium levels to detect hypocalcemia.

2. Pain Management:

• Administer prescribed pain medications.

• Use ice packs for swelling.

3. Wound Care:

• Keep the surgical site clean and dry.

• Regular dressing changes.

• Inspect for signs of infection.

4. Activity Restrictions:

• Encourage early ambulation.

• Avoid strenuous activities and heavy lifting for 1-2 weeks.

• Elevate head while resting.

5. Diet and Hydration:

• Start with clear liquids, advance to regular diet.

• Ensure adequate hydration.

6. Medications:

• Thyroid hormone replacement if total thyroidectomy.

• Calcium and vitamin D supplements if needed.

• Antibiotics if indicated.

7. Laboratory Tests:

• Monitor calcium and thyroid function tests.

8. Patient Education:

• Recognize signs of hypocalcemia.

• Wound care instructions and importance of follow-up.

Complications of Thyroid Surgery

1. Hypocalcemia: Tingling, muscle cramps. Manage with calcium and vitamin D supplements.

2. Recurrent Laryngeal Nerve Injury: Hoarseness, voice changes. Often improves over time.

3. Hemorrhage/Hematoma: Swelling, breathing difficulty. Requires immediate attention.

4. Infection: Fever, redness at the incision site. Treat with antibiotics.

5. Airway Obstruction: Difficulty breathing. May need intubation or tracheostomy.

6. Thyrotoxic Crisis: High fever, tachycardia. Immediate medical intervention needed.

7. Seroma Formation: Fluid accumulation. May require drainage.

8. Scarring: Potential cosmetic concerns. Treatments available.

Follow-Up Care

• Schedule regular visits for monitoring recovery and adjusting medications.

• Regular blood tests for thyroid and calcium levels.

• Voice therapy if needed for vocal issues.

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