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Medsurge C17
| Term | Definition |
|---|---|
| 3 phases of Perioperative Period? | Preoperative phase, Intraoperative phase, Postoperative phase |
| Preoperative Phase | From decision for surgery until entry to the OR |
| Intraoperative Phase | From entry into the OR to entry into post anesthesia care unit (PACU) |
| Postoperative Phase | From entry into PACU to follow-up evaluation (clinical setting or at home) |
| Surgeries are___? | Shorter, safer, and better |
| 5 classifications of Surgery | Emergent, Urgent, Required, Elective, Optional |
| Emergent Surgery | Has to be done without delay (GSW) |
| Urgent Surgery | Needs to be done within 24 hours (Kidney stones) |
| Required Surgery | Needs to be done, but can be planned (joint replacement) |
| Elective Surgery | If you choose not to have it, it won't be life threatening (Hernia repair) |
| Optional Surgery | Patient Preference (Cosmetic) |
| Bariatric Concerns | Increased risk of infection, dehiscence, cardiac demand, shallow respers when supine, short thick necks, large tongues excess pharyngeal tissue, OSA |
| Ambulatory Surgery Concerns | Assessments, Teaching, Psychological support |
| Emergency Surgery Concerns | Unpredictable injuries, Simultaneous assessment, Informed consent, Extra support |
| Informed Consent | Conversation between pt and surgeon about surgery risks/benefits/outcomes |
| What is the nurses responsibility with Informed Consent? | Make sure conversation happens, pts questions answered, pt was capable of making autonomous decision, watch them sign the form, signed before meds |
| Voluntary Consent | Valid consent must be given freely, without coercion |
| Preoperative Assessment | Nutritional & fluid status, dentition, drug or alcohol use, respiratory status, CV status, Hepatic & renal function, endocrine function, immune function, previous medication use, psychosocial factors, spiritual & cultural beliefs |
| Pt Education | deep breathing, coughing, incentive spirometry, mobility, active body movement, pain management, cognitive coping strategies, instructions for outpt surgery |
Created by:
aleahgoodson
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