Medical Surgical Nursing

Postoperative transient edema develops until collateral circulation has completely

taken over this function, which generally occurs within a month. Performing

prescribed exercises, elevating the arm above the heart several times a day, and

gentle muscle pumping (making a fist and releasing) can help reduce the transient

edema. The patient needs reassurance that this transient swelling is not

lymphedema

Hand and Arm Care After Axillary Lymph Node Dissection

Avoid BP, injections, and blood draws in affected arm.

Use sunscreen for extended exposure to sun.

Apply insect repellent to avoid insect bites.

Wear gloves for gardening.

Use cooking mitt for removing objects from oven.

Avoid cutting cuticles; push them back during manicures.

Use electric razor for shaving armpit.

Avoid lifting objects greater than 2-4 kg.

If a trauma or break in the skin occurs, wash the area with soap and water, and

apply an antibacterial ointment.

Observe the area and extremity for 24 hours; if redness, swelling, or a fever occurs,

call the surgeon or nurse.

Post-op arm exercise