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intraoperative

QuestionAnswer
What nursing intervention can reduce the preoperative pt.'s anxiety? provide a climate of privacy, comfort and confidentiality when caring for the patient.
coordinates, oversees, and participates in the patient's nursing care while the patient is in the operating room circulating nurse
assumes responsibility for the sugical procedure and any surgical judgements about the patient surgeon
manages the pt.'s care while the pt. is in this area and initiates documentation on a perioperative nursing record. holding area nurse
educated in a particular type of sugery and responsible for intraoperative nursing care specific to patients needing that type of surgery specialty nurse
sets up the sterile field, assists with the draping of the pt., assists surgeon with sterile tools. scrub nurse
physocian who specializes in the administration of anesthetic agents anesthesiologist
during surgery, what things do anesthesia personel monitor intake & output, vital signs, cardiopulmonary function, and level of anesthesia
prepare for and assist in treatment of cardiovascular an/or pulmonary arrest. document in record stage 4
sheild pt. from extra noise and physical stimuli. protect the pt.'s extremities, stay with the pt. stage 2
close operatin room doors and control traffic in and out of room, secure pt. on table, and maintain minimal discussion in the OR stage 1
assist anesthesia personel with intubation of pt. Prep the pt.'s skin in the area of operative site stage 3
the acute, life threatening complication of malignant hyperthermia results from the use of which agent? Succunylcholine and inhalation agents
which clinical features are found in MH crisis sinus tachycardia, tightness and rigidity of the pt.'s jaw area, lowering of blod pressures, skin mottling and cyanosis, tachypnea
what is the treatment of choice for MH Dantrolene
what factor may lead to an anesthetic overdose in a pt. slowed metabolism and drug elimination
The pt. experiences MH immediately after induction. What are the priority nursing interventions? Wrap the extremities with cold towels, assess ABG's and serum charecteristics, and apply a cooling blanket over the torso.
brachial plexus/ paralysis; loss of sensation pad the elbow, avoid excess abduction, secure the arm on an arm board positioned at shoulder level
radial nerve/ wrist drop support the wrist with padding; do not overtighten wrist staps
medial or ulnar nerves/ peroneal nerve place safety strap above or below elbow or padding under the knees
tibial nerve/ loss of sensation on the plantar surface of the foot place safety stap above ankle; do not place equipment on lower extremities
in which situation is regional anesthesia useful in pts. with serious medical problems
used for local or regional anesthesi tetracaine
a barbituate; low in incidence of post operative nausea and vomiting thiopental sodium
emergence reaction such as hallucinations, unpleasant dreams and restlessness are common ketamine HCL
excellent postoperative analgesia but may cause significant respiratory depressin fentanyl
short acting; patient becomes responsiv quickly postoperatively propofol
sweet smeel makes it easy to use in children halothane
may cause coughing and excitement during induction desflurane
needs addition of other agents for longer procedures nitrous oxide
to avoid electrical safety problems during surgery, what does the nurse do? ensures the proper placement of the grounding pads
what medical condition increases the pt.'s risk forsurgical wound infections? DM
injection of the anesthetic agent into the epidural space. used for lower extremity surgery epidural anesthesia
Created by: Kelly Cooper Peel Kelly Cooper Peel on 2012-01-22



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