intraoperative Word Scramble
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Question | Answer |
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 |
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