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PreOp care
test1
| Question | Answer |
|---|---|
| recovery | pt transported to postanesthesia care or ICU |
| stress and coping | educate and allow pt to ask questions |
| circulating nurse | "manager of the room" lead the time out |
| vendors | supply goods, can't open products or put on back table |
| time out | to ensure correct procedure, right site, and right client |
| pre op diagnostic test | prothrombin time, hematocrit, hemoglobin, potassium, chest xray, and ECG |
| potassium | if level is not in normal range then it can cause arrhythmias |
| analgesics | tylenol, morphine |
| anxiolytics | benzos; valium and versed |
| constructive | build and repair of tissue or muscle |
| length of surgical procedure | the longer the increase of risk for complications complications include hypothermia and blood loss SCDs need to be put on if longer than 30 mins |
| maintenance | maintain pt using balanced anesthesia |
| endotracheal tube | used for longer and more intense procedures,. cannot breathe on their own |
| assessment after spinal anesthesia | poke to check for feeling in areas, reflexes, and sensation |
| moderate sedation | maintains airway w/o loss of consciousness |
| surgical safety doc | time the pt comes into the room, time anesthesia starts, first incision, time out of room |
| hypo/hypernatremia | sodium levels low or high |
| hypo/hyperkalemia | potassium levels are low or high |
| intraop complications | hypo/hypervolemia, hypo/hypernatremia, hypo/hyperkalemia, hypo/hyperthermia, ICP |
| autologous blood transfusion | when the client donates their own blood |
| allogenic blood transfusion | when the client receives blood from the community |
| why do we ventilate post op | we want to clear lungs of gases from anesthesia |
| urinary retention | unable to void 8-10 hrs post op palpable bladder frequent small amount voiding pain supra pubic area |
| pulmonary embolism | chest pain, dyspnea, increase resp rate, tachycardia, increase anxiety, diaphoresis, decrease orientation, decrease BP, and blood gas exchange |
| pneumonia | rapid resp, shallow resp, fever, wet breath sounds, asymmetrical chest movements, productive cough, hypoxia, tachycardia, leukocytosis |
| dehisence | separation of incision |
| gastric dilatation | NV |
| perfusion | a pre surgery briefing with the surgical staff checking for hemodynamic stability, and checking lab levels |
| side effect of zofran | tachycardia |
| laryngeal mask | can breath on their own |
| three methods of autologous blood donations | preop donations, normovolemic hemodilution, and preop salvage of autologous blood |
| immediate post op assessment | check airway, 02 sat, and ventilation, reflexes, cardiovasc status, skin assessment, fluid status, op site, pain, NV, safety |
| infection | redness, purulent drainage, fever, tachycardia, leukosytosis |
| evisceration | evidence of bowel through incision, increase pain |
| antiemetics | zofran, pheregan |
| preop client teaching | turn cough and deep breathing, surgical incision care, pain control, prevention of blood clot formation |
| intubation | place and secure airway |
| emergence | suction pt to decrease the change of spasm and aspiration, provide 02 to wash out inhalation agent, remove airway when pt is breathing on own |
| intra op documentation | complete hand off, diagnoses, informed consent, anesthesia type, and ASA level, times, position of client, tubes or drains placed, I&Os, medication. foley |
| atelectasis | collapsed lung dyspnea, tachypnea, decrease breath sounds, asymmetrical chest movements, tachycardia, restlessness |
| hypovolemic shock | decreased urine, decreased BP, weak pulse, cool clammy, restless, increase bleeding, increase thirst |
| paralytic ileus | decrease bowl sounds, no stool or flatus, NV, ABD distension |
Created by:
Jessecanaday21
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