Post Operative Care
pain management should be continuous from or to post-anesthetic unit to hospital ward and home 
pain service may assist with management of post operative inpatients.

Post-Operative nausea and Vomiting

more likely occur if young age female gender eye / middle ear / gynecological surgery, obese , history of post-anesthetic nausea / Vomiting.

Some anesthetic agents tend to cause more nausea post-operatively than other (e.g) opioids, nitrous oxide.

Hypertension and bradycardia must be ruled out. 

Pain/surgical manipulation also cause nausea.

Often treated with   dimenhydrinare (gravol.tm  ) metoclopramide (maxeran. tm) (not with bowel obstruction) prochlorperazine ( stematil ,tm) ondansetron (zofran.tm) granisetron.

post operative confusion and agitation .

ABCs first-confusion or agitation can be caused by airway obstruction, hypercapnea, hypoxemia.

Neurologic status (glassgow coma scale.pupils) residual paralysis from anesthetic.

Pain distended bowel /bladder.

Fear anxiety/separation from caregives/language barriers. 

Metabolic disturbance (hypoglycemia, hypercalcemia, hyponatremia-especially post TURP). 

Intracranial cause (stroke, raised intracranial pressure).

Drug effect (ketamine, anticholinergics).

Elderly patients are more susceptible to post-operative delirium.