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Peri-operative Needs
PCC jeopardy
| Question | Answer |
|---|---|
| it is important to avoid unnecessary noises and motion during this stage of general anesthesia | Stage 1: beginning anesthesia because it is when they are most agitated |
| it is best to reposition the client for the surgical procedure while in this stage of general anesthesia | Stage 3: surgical anesthesia |
| s/sx of this stage of anesthesia are shallow respirations, weak & thready pulse, fixed & dilated pupils & cyanosis | stage 4 |
| during this stage the anesthesiologist or anesthetist must always be assisted | during stage 2: excitement |
| pt states is nervous & does not fully understand the procedure, what is first nursing intervention | call dr. |
| team member manages the OR & protects the pt's safety | circulating nurse |
| team member performs surgical hand scrub | scrube role |
| team member must be able to handle any emergency situation in the OR | registered nurse first assistant |
| member is subject to several risks and may feel anxiety | pt |
| team members are responsible for counting all needles, sponges, and supplies | scrub person and circulator |
| pt under this type of anesthesia, are not arousable, not even painful stimuli | general anesthesia |
| type of anesthesia is injected around nerves | regional anethesia |
| type of anesthesia involves an injection into the spine | spinal anesthesia |
| type of anesthesia involves the injection of a local anesthetic into the epidural space | epidural |
| type of anesthesia involves the IV admin of sedatives or analgesic medications | moderate or conscious sedation |
| stages of anesthesia, if it develops the anesthetic agent is discontinued | Stage 4: medullary depression |
| protrusion of internal organs though the wound opening, what are nursing interventions | cover with moist sterile dressings, NPO, notify physicians, watch for s/sx of shock |
| INTERVENTIONS IF AN INTRAOPERATIVE PT BEGINS TO GAG OR VOMIT | turn them on their side, lower the head of bed, use suction prn |
| DTs stand for | delirium tremors |
| cause of DT | from alcohol withdrawl |
| absence of microorganisms in the surgical environment to reduce the risk for infection | surgical asepsis |
| s/sx of malignant hyperthermia | body rigidity, decreased BP, increased pulse, increased temp, cyanosis, modeling |
| tx for malignant hyperthermia | correct of dysrhythmias, decreased temp, 02, Dantrium |
| safety interventions used in associated with laser surgery | grounding pads on, reduce exposure to eeys and skins, wear laser goggles, prevent inhalation of laser plume, smoke evacuators, familiarization of equipment |
| prevent a spinal headache while caring for a post-op pt who received a spinal anesthetic | keep pt well hydrated, keep pt lying flat, decrease noise and stimulation |
| what is referred to as the time out and who is responsible for ensuring that it is performed | circulating nurse is responsible, amond the surgical team prior to induction of anesthesia, every member of the surgical team verifies the pt's name, procedure & surgical sit using objective documentation and data |
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