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H&C Ch 14 Preop
| Question | Answer |
|---|---|
| What are the typical settings for surgical procedures? | ambulatory, outpatient or inpatient |
| What phase begins when the decision to proceed with surgical intervention is made and ends with the transfer of the patient onto the operating room (OR) bed. | Preoperative |
| _________________ begins with the admission of the patient to the PACU and ends with a follow-up evaluation in the clinical setting or home | Post operative |
| ________________________begins when the patient is transferred onto the OR bed and ends with admission to the PACU. Intraoperative nursing responsibilities involve acting as scrub nurse, circulating nurse, or registered nurse first assistant | intraoperative |
| identify the phase that this activity occurs: begins discharge planning | preop |
| Identify the phase that this activity initially occurs: verifies consent has been signed | preop |
| Identify the phase that this activity occurs: establishes IV iste | preop |
| Identify the phase that this activity occurs: applies grounding device | intraop |
| Identify the phase that this activity initially occurs: communicates blood loss | intraop |
| Identify the phase that this activity occurs: provides oral fluids if prescribed | post op |
| Identify the phase that this activity occurs: assists in preparation for discharge home | post op |
| What types of reasons are there for surgery (p. 340) | diagnostic, curative, reconstructive, palliative or rehabilitative |
| True or False: ambulatory surgery requires an overnight hospital stay | false p. 340 |
| A person who is allergic to kiwi should be considered for what other type of allergy ? | latex |
| What is the STOP BANG used for ? | OSA risk p. 343 |
| A person is scheduled for a planned bowel surgery. Based on your knowledge of the preparation for this what are they most at risk for ? | dehydration r/t bowel prep p. 343 |
| What genetic predisposition related to anesthesia is concerning for surgical risk ? | malignant hyperthermia |
| What lifestyle choices should you be asking frank questions about ? | alcohol use, drug use, and smoking |
| incentive spirometry should be utilized to prevent what complication ? | lung complications related to ineffective breathing |
| when should smoking measures be discussed and implemented | preoperatively |
| Why is renal and liver function preoperatively important ? | so that medications, anesthetic agents, body wastes, and toxins are adequately metabolized and removed from the body. |
| What tests are utilized to determine renal and liver function ? | liver: LFTs Renal: creatinine, BUN (check lytes as well) |
| Corticosteroid use should be reported. How far back should the time period for steroid use be considered? | looking back 1 year |
| Aspirin, clopidogrel are examples of what drug class ? | antiplatelet |
| How long should medications that inhibit platelet aggregation be discontinued prior to surgery ? | 7 to 10 days |
| What drug classes are of concern for surgical risk ? | anxiolytics, corticosteroids, diuretics, phenothiazines, insulins, antiepileptics, anticoagulants, opioids and GLP-1s |
| What is taught to promote optimal lung expansion post anesthesia ? | deep breathing, coughing and incentive spirometry |
| What are the anticipated methods of pain management post operatively ? | PCA, epidural, IV |
| What is the technique called when a patient coughs with an abdominal or chest incision ? | splinting |
| What are patients taught to do post operatively to prevent DVTs? (think lower extremity) | leg exercises |
| A call is made the night before surgery to the patient by the nurse. What might this conversation entail ? | education about NPO status, skin cleansing and prep |
| What are some methods for reducing anxiety/fear preoperatively ? | guided imagery, distraction, music or aroma therapy p. 351 |
| It is important for a surgeon to know what about a patient who is about to have a surgery with anticipated blood loss ? | their transfusion status - will they accept blood products |
| What religion typically does not accept blood transfusions ? | Jehovah's Witness |
| Can a person refuse blood transfusions for reasons other than religious ? | yes |
| Why is skin preparation a step preoperatively for most patients ? | to decrease bacteria without injuring the skin (antiseptic skin washes) |
| Why is the mouth inspected preoperatively ? | to prevent risk of injury during intubation/sedation |
| What is important to do preoperatively to prevent hypothermia ? | preoperative warming for at least 30 minutes p. 353 |
| How is preoperative warming done ? | IVs, warm blankets, warm air p. 353 |
Created by:
Kelly Quijano
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