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Preparing Pt 4 Surg.

Test III, N101

Nursing care provided for Pt before, during and after surgery Perioperative Nursing
Stage I Perioperative Period: Decision to have the surgery Preoperative
Stage II Perioperative Period: OR Admission Introperative
Stage III Perioperative Period: Recovery Area Postoperative
Elective Urgent Emergency Urgency
Minor Major Degree of Risk
To confirm, rule out a diagnosis Diagnostic
Remove diseased body part Ablative
Alleviate discomfort without producing a cure Palliative
Restore Function Reconstructive
Improve appearance Cosmetic
Replace malfunctioning body part, tissue or organ Transplant
Difficulty maintaining stable body temp, Increased temp in OR, Lower TBV Infants
Most at risk for cardiac problems with Anesthesia Older Adults
Causes hemorrhage Anticoagulants
Causes electrolyte imbalances Diuretics
Causes respiratory depression Narcotics
Causes hypotension Tranquilizers
Causes cardiovascular collapse if W/D abruptly after long-term care Steroids
fever develops immediately during anesthesia Malignant hyperthermia
Surgery increases the body's need for Nutrients
Increased risk for fluid & electrolyte imbalances, delayed wound healing and infection Malnourished Patient
Increased risk for respiratory, cardiovascular and GI problems Obese Patients
Require larger amts of anesthesia & postoperative analgesics Habitual Alcohol Consumers
Increased risk for interactions with anesthesia Illicit Drug Users
Increased risk for post-op respiratory complications Smokers
Chest X-ray EKG CBC electrolyte Levels Urinalysis Fasting Blood Glucose Common Pre-surgery Screenings
Created by: lost little girl