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Intraop Care
| Question | Answer |
|---|---|
| perioperative nurse | prepare the OR; patient's advocate;last minute assessment; provide physical and emotional comfort to patient & caregiver |
| circulating nurse role | not scrubbed, gowned, and gloved; remain in the unsterile field; records all nursing care |
| scrub nurse role | following scrub procedure; remain in strile field and don sterile attire |
| Registered Nurse First Assistant (RNFA) | works with the surgeon; sutures; handles tissue; providing exposure to surgical site; assiting w/ hemostasis |
| Holding area / Unrestricted area | where you ID and assess patient before OR transfer; patient prep area; caregiver/family can visit |
| when transfering a patient to the OR | adequate staff should be present to assist in lifting; monitoring devices are added once tha patient is securely strapped down; |
| OR preparation included | placing instruments on the sterile field (aseptic technique); counting all instruments and small medical devices |
| preventing wrong site, wrong procedure or surgery, and wrong patient (includes surgical timeout) | Universal Protocol (launched by the WHO as part of the global patient safety initiative) |
| positioning of the patient should allow for | operative site accessibility; admin & monitoring of anesthetic agents; airway maintenance |
| improper positioning could lead to | muscle strain, joint damage, pressure ulcers, or nerve damage, |
| supine position | most common; used for surgeries invilving the abdomen, heart, and breast |
| prone position | used for back surgery (laminectomy) |
| lithotomy position | used for some types of pelvic organ surgeries (vaginal hysterectomy) |
| general antesthesia causes blood vessels to _______ and blood to _______. This makes positioning a high priority. | dilate, pool |
| general anesthesia (conscious effects) | loss of sensation with loss of consciousness; combination of hypnosis, analgesia, & amnesia |
| general anesthesia (physiological effects) | elimination of coughing, gagging, vomiting, and SNS responsiveness; possible impaired cardiovascular & ventilatory function |
| regional anesthesia (conscious effects) | loss of sensation to a region of the body without loss of consciousness |
| regional anesthesia (physiological effects) | blocks a specific nerve or nerve group w/ admin of a local anesthetic |
| local anesthesia (conscious effects) | loss of sensation without loss of consciousness |
| local anesthesia (administered) | induced topically or via infiltration; intracutaneously; subcutaneously |
| monitored anesthesia care (MAC);formerly called conscious sedation (conscious effects) | relieves anxiety, provides analgesia and amnesia; reamin responsive and breathe without assistance |
| monitored anesthesia care (MAC);formerly called conscious sedation (physio effects) | sedatives and opioids are used at low doses; often used for minor surgeries and diagnostic procedures |
| dissociative anesthesia | blocks sensory pathways while blocking associative brain pathways |
| dissociative anesthesia (patient response) | may appear catatonic, is amnesic and experiences profound analgesia that lasts into postop period |
| Ketamine (Ketalar) | common dissociative anesthetic; IV or IM route; promotes bronchodilation; potent analgesic and amnesic; increase HR & maintain cardia output |
| OR catastrophic events | anaphylaxis and malignant hyperthermia |
| malignant hyperthermia | rare disorder; hyperthermia w/ rigidity of skeletal muscles; primary trigger is succinylcholine; stress, trauma, & heat are other causative factors |
Created by:
ashanti20
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