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365 Exam 1
365 CH Intra and Post OP
| Term | Definition |
|---|---|
| scrub nurse | sterile, prepare and manage field; help gown and glove, count |
| circulating nurse | unsterile, manage OR conditions, in charge of one room; coordinate personnel moving in and out; send specimens, chart updates |
| scrubbing, gowning and gloving | wet scrubbing with soap and water, waterless alcohol based agents |
| preparing the surgical site | shave surgical areas, scrub or cleanse around site with antimicrobial agent, drape site |
| safety risk of staff | blood and body fluids, latex and adhesive, radiation, lasers |
| safety risk of patient | infection, physical trauma, physiologic effects of surgery |
| SCIP guidelines | protect patient from harm during surgery |
| time out procedure | identify correct procedure, correct patient and consent |
| universal protocol | right person, site and procedure |
| moderate sedation | bedside procedures, RN administered; patient is awake |
| MAC (monitored anesthesia care) | decreased LOC, able to maintain airway |
| general anesthesia | patient is unconscious, IV or inhaled, at risk for aspiration; muscle relaxant |
| local anesthesia | applied locally, blocks nerve impulses to localized area, loss of sensation only; RN administered |
| local anesthesia types | topical, opthalmic, injected, inhaled |
| regional anesthesia | local anesthetic drug injected into a central nerve or group of nerves; administered by ACP |
| spinal regional anesthesia | loss of motor and sensory function, enters CSF |
| epidural regional anesthesia | patient is awake, does not enter CSF, blocks sensory pathways but motor fibers are intact; often used for post op pain management |
| peripheral block regional anesthesia | injected into peripheral nerve clusters |
| regional anesthesia adverse reaction | ANS blockade; bradycardia, hypotension, nausea/ vomiting |
| risks associated with aspirating vomitus | bronchial spasm, pneumonitis, pulmonary edema; silent regurgitation |
| hypothermia | body temp < 36.6; warm and monitor core temp |
| malignant hyperthermia | caused by exposed anesthetics; muscle rigidity leads to arrhythmias, acidosis, hypoxia and renal damage |
| malignant hyperthermia antidote | dantrolene |
| post anesthesia recovery unit | maintain stable vital signs, adequate pain control, no signs of respiratory compromise, or complications |
| incision assessment | manage the dressing; monitor any drainage, swelling, redness, warmth |
| potential post op complications | blood clot in lower extremity, delirium, fever |
| hypoxia | restlessness, agitation, delirium and confusion, increased RR, decreased O2 |
| atelectasis | decreased breath sounds, crackles, cough |
| pneumonia | fever, increased RR, decreased O2, crackles |
| VTE | extremity swelling, pain and warmth |
| signs of PE | sudden SOB, increase RR and HR, chest pain, LOC change |
| hemorrhage | change in LOC, cold, moist, pale skin, decrease BP, increase HR |
| cardiovascular assessment | pulses, respirations, capillary refill |
| GI complications | post op nausea and vomiting, constipation, ileus |
| postoperative ileus | temporary impairment of gastric and bowel motility after surgery; abdominal pain, cramping, hypoactive bowel sounds, distention |
| urinary complications | retention caused by anesthesia or constipation |
| bladder scan if more than 6 hr since last void | more than 400, straight cath |
| signs of wound infection | redness, swelling, purulent or foul drainage, increased pain, warmth, fever, leukocytosis |
| dehiscence | incision starts to seperate |
Created by:
ahommel
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