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NUR 112
Appendicitis and Peri-Op care
| Question | Answer |
|---|---|
| when does preoperative care begin? | Begins when patient identified as candidate for surgery/ procedure |
| 3 universal safety protocols | Pre-procedural verification processes Time-outs Handoff reports |
| Pre-procedural verification processes | ask patient to tell us what they're having done and where |
| Time outs | after pt is asleep, surgical team takes a "time out" to make sure everyone knows pt name, procedure being performed, site of procedure, etc |
| when to give antiemetics | if pt has history of nausea post procedure; give before the procedure to reduce nausea |
| who needs SCDs/ anti-embolism stockings | OB patients/ C-sections; Hx of thrombophlebitis/ clotting disorders; immobile pts/ pts who can't ambulate independently |
| who provides informed consent | the surgeon/doctor!!! |
| what can you ask about informed consent | verify the signature; ask if the pt understands what the surgeon explained to them |
| why are surgical patients at greater risk of hypothermia? | When they're opened up on the table they loose a lot of body heat/ thermoregulation is thrown off |
| patients at higher risk for infection | Poor health or poor nutrition Diabetes Taking immunosuppressants Have increased BMI |
| who is in charge of the safety of the surgical room? | circulating nurse |
| circulating nurse duties | control the room for safety; call time out; count instruments; hand instruments and meds to sterile field; strap pt down to table; communication w surgeon |
| who typically takes off first dressing after surgery? | Surgeon; but use your nursing judgement if it needs to come off sooner |
| line and drain management for nurses post-op | Nurse is responsible for maintaining drainage system- milking the tubing, emptying, recording amount and color of drainage, compression of bulb to maintain gentle suction after emptying, patient education if pt. goes home with drain in place |
| causes of appendicitis | Obstruction can be caused by Fecalith gallstone Parasites Edema of lymphoid tissue Tumor Foreign body |
| RF for appendicitis | Adolescent males at greatest risk Diets low in fiber or high in carbohydrates Gastrointestinal infections |
| what symptoms may need to be differentiated for adolescent and young children | from ruptured ectopic pregnancy, pelvic inflammatory disease (PID), polycystic ovary disease |
| most effective test for diagnosis of appendicitis | abdominal ultrasound |
| when to report pain | unexpected changes in pain, unrelieved pain |
Created by:
ginnyfoscue
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