pre/intra/post op
Help!
|
|
||||
|---|---|---|---|---|---|
| what is a diagnosis surgery | determination of the presence and/or extent of pathology
🗑
|
||||
| 2 examples of diagnosis surgery | lymph node biopsy, bronchoscopy
🗑
|
||||
| What is a cure surgery | elimination or repair of pathology
🗑
|
||||
| 2 examples of a cure surgery | removeal of ruptured appendix, benign ovarian cyst
🗑
|
||||
| What is a palliation surgery | alleviation of symptoms w/o cure
🗑
|
||||
| 2 examples of palliation surgery | cutting a nerve root(rhizotomy) to remove sx of pain, creating a colostomy to bypass an inoperable bowel obstruction
🗑
|
||||
| What is a prevention surgery | removing something before cancer or complication can start
🗑
|
||||
| 2 examples of prevention surgery | removal of a mole before it becomes malignant, removal of the colon in a pt with familial polyposis to prevent cancer
🗑
|
||||
| What is exploration surgery | surgical examination to dertermine the nature or extent of disease
🗑
|
||||
| 1 example of exploration surgery | laparotomy
🗑
|
||||
| What is cosmetic imporvement surgery | Changing a part of the body that has been changed for the worse by unforseen curcumstances.
🗑
|
||||
| 2 examples of cosmetic improvement surgery | Repairing a burn, scar, or breast change.
🗑
|
||||
| What is Elective surgery | carefully planned surgery
🗑
|
||||
| What is a Emergancy surgery | Unexpected stat surgery
🗑
|
||||
| What is a ambulatory surgery | Same day or outpatient surgery. Surgeries usually less than 2 hours and 3-4hrs in PACU
🗑
|
||||
| What drugs should cause alert prior to surgery | Immunosuppression meds, anticoagulantes, NSAIDS, Herbs
🗑
|
||||
| Whatis the importance of doing a cardiovascular assessment prior to surgery | To determine the presence of preexiting disease or existing problems that need to be monitored during/after surgery
🗑
|
||||
| What is the importance of doing a respiratory assessment prior to surgery | to determine problems that need to me monitored during/after surgery. bronchospasm, laryngospasm decrease O2 saturations
🗑
|
||||
| What is the importance of doing a Nervous system assessment prior to surgery | To make sure they have the same cognitive/physical abilities before/after surgery
🗑
|
||||
| What is the importance of doing a Urinary system assessment prior to surgery | decrease renal function may contribute to an altered response to drugs & unperdictable drug elimination
🗑
|
||||
| What is the importance of doing Hepatic system assessment prior to surgery | Exsisting problems increase perioperative risk for clotting abnormalities and adverse reactions to meds
🗑
|
||||
| What is the importance to doing skin assessement prior to surgery | Wound healing problems, effects of anethesia on obese pt, the need for more padding on thinner pts
🗑
|
||||
| what is the importance of doing musculoskeletal assessment prior surgery | mobility restrictions may influence intra/post operative positioning and ambulation
🗑
|
||||
| What is the importance of doing an assessment on the endocrine system | adverse reactions to anesthesia and surgery delayed healing/infection (hypo/hyperthyroidism)
🗑
|
||||
| what is the importance of doing a immune system assessment | Impairement of the immune system can lead to delayed wouldn healing and increase risk of post op infections
🗑
|
||||
| what is the importance of doind a nutritional status assessment prior to surgery | obese vs malnurited could = decrease healing, longer lasting effects
🗑
|
||||
| What are the 2 conditions that must be met for consent to be valid | Adequate disclosure of the DX, Pt must demonstrate clear understanding, pt much give consent voluntarily
🗑
|
||||
| What are the RNs responsibility in regards to the consent | witness, verify pt understands
🗑
|
||||
| What is the role of the pre op RN | Pre-op teaching, assessment, communication of pertinent findings, ensuring all pre-op orders are completed
🗑
|
||||
| What is conscious sedation | drug induced depression of consciousness that retains the pt ability to maintain his/her own airway & respond to verbal commands
🗑
|
||||
| What is general anesthesia | loss of sensation with loss of consciousness
🗑
|
||||
| what is local anesthesia | loss of sensation w/o loss of consciousness
🗑
|
||||
| What is regional anesthesia | loss of sensation to a region of the body w/o loss of consciousness
🗑
|
||||
| What is the role of opiods during anesthesia | sedation, analgesia, intraoperatively for induction and amaintenance of anesthesia and anagesics & post op pain maintaince
🗑
|
||||
| What is the role of benzodiazepines with anesthesia | Premedication for amnesia, induction & maintence, supplemental IV sedation
🗑
|
||||
| What is malignant hyperthermia | metabolic disease characterized by hyperthermia with rigidity of skeletal muscles that can result in death
🗑
|
||||
| What is the reversal agent for malignant hyperthermia | Dantrolene
🗑
|
||||
| What complications can arise with respiratory system | Airway obstruction, Hypoxemia(atelectasis), Bronchospasm, Hypoventalation
🗑
|
||||
| What complications can arise with cardiovascular system | Hypotension, hypertension
🗑
|
||||
| What complications can arise with neurological/Psychological system | emergence delirium
🗑
|
||||
| Treatment for a airway obstruction | pt stimulation, O2, suctioning, antihistumines, corticosteriods, intubations
🗑
|
||||
| TX for Hypoxemia(atelectasis) | O2, bronchodilators
🗑
|
||||
| Tx for Bronchospasm | O2, bronchodilators
🗑
|
||||
| TX for Hypoventalation | stimulation, repositionsing, ventalation, O2
🗑
|
||||
| Tx for Hypotension | O2, IV bolus, Meds
🗑
|
||||
| Tx for HTN | O2, analgesics, drug therapy
🗑
|
||||
| TX for emergence delirium | sedation (goes away with time)
🗑
|
||||
| TX for Hypothermia | warm blanket, forced air warmers, heated water mattresses
🗑
|
||||
| TX for nausea & vomiting | antiemetic or prokinetic drugs
🗑
|
||||
| TX for adb distention | freq ambulation, expel flatus
🗑
|
||||
| Complications for urinary system | decrease urine output, Acute urinary retention, Oliguria
🗑
|
||||
| Complications for integumentray(skin)system | wound infection, delayed wound healing
🗑
|
||||
| Midazolam(Versed) is used for what | Reduce anxiety, amnesic effects
🗑
|
||||
| What drug is Midazolam(Versed) in | benzodiazepine
🗑
|
||||
| Adverse reactions for Medazolam(Versed) | apnea, laryngospasm, respiratory depression, cardia arrest, phlebitis @IV site
🗑
|
||||
| Nursing considerations for Midazolam(Versed) | Assess LOC, Monitor Vitals
🗑
|
||||
| What is morphine used for | pain control
🗑
|
||||
| What class is morphine in | opioids
🗑
|
||||
| What are the adverse reactions/side effects for morphine | confusion, sedation, respiratory depression, hypotension, constipation
🗑
|
||||
| what is the nursing considerations for morphine | Assess pain q hr, assess LOC, Assess Bowel function, vitals
🗑
|
||||
| What is Promethazine used for | Antiemetic, anithistamine, sedative
🗑
|
||||
| What are the adverse reactions/side effects for promethazine | Neuroleptic malignant syndrome, confusion, disorientation, sedation
🗑
|
||||
| What are the nursing considerations for promethazine | Monitor vitals, Assess state of mind
🗑
|
||||
| What is Ondansetron(Zofran) used for | prevent nausea & vomiting
🗑
|
||||
| What drug class is Ondansetron(Zofran) in | Antiemetic
🗑
|
||||
| What are the adverse effects/side effects for Ondansetron(Zofran) | Headache, constipation, diarrhea
🗑
|
||||
| What are the nursing implications for Ondansetron(zofran) | assess pt for involuntary movements, assess for nausea, vomiting, abd distention
🗑
|
||||
| What is Oxycodone/acetaminophen(Percocet) used for | Pain relief
🗑
|
||||
| What drug class is OXycodone/acetaminophen(Percocet) in | Opioid
🗑
|
||||
| What are the adverse effects/side effects of Percocoet | confusion, sedation, respiratory depression, constipation
🗑
|
||||
| What are the nursing consideration for Percocoet | Assess pain, vitals, bowel function
🗑
|
||||
| What is Hydrocodone(vicodin) used for | Pain relief
🗑
|
||||
| What drug class is Hydrocodone(vicoden) in | Opioid
🗑
|
||||
| What are the adverse reactions/side effects of Hydrocodone(vicoden) | confusion, dizziness, sedation, hypotension, constipation, dyspepsia, nausea
🗑
|
||||
| What are the nursing considerations for Hydrocodone(Vicoden) | Assess vitals, bowel function, pain
🗑
|
||||
| In what assessment do you assess bleeding/clotting times | Cardiovascular assessment
🗑
|
||||
| pt with COPD or asthma is at high risk for what? | Atelectasis and Hypoxemia
🗑
|
||||
| Post-op delirium can occur with what? | dehydration, hypothermia, and adjunctive medications
🗑
|
||||
| Pts with Diabetes Mellitus are at high risk for what? | hypo/hyperdylcemia, ketosis, cardiovascular alterations, delayed wound healing, infection
🗑
|
||||
| Renal dysfunction contriutes to what issues | Fluid and electrolye imbalances, increased risk for infection, impaired wound healing, altered resonse to drugs and their elimination
🗑
|
||||
| Pts with Addisons disease are at risk for what? | Abruptly stopping replacement corticosteroids could cause addisonian crisis
🗑
|
||||
| Obese pts have what problems in post op | stresses cardiac and pulmonary systems, increased risk of wound dehisence and infections, delayed wound healing, slower recovery from anesthesia
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
nate7722
Popular Nursing sets