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