Pre-op patient care
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| The three categories of anesthesia | general, regional, and local
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| Define infarct | localized area of necrosis caused by inadequate blood supply.
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| define intraoperative | during surgery
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| Define Perioperative | a term used to describe the entire term of the surgery, including what occurs before, during and after the operation.
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| When does the preoperative period begin? | It begins with the decision to perform surgery
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| When does the preoperative period end? | When the client reaches the operating area.
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| Note: Define all terms listed on page 1253, Chapter 42, Foundations and Adult Health Nursing; 6th Ed. | Reference.... will add to stack.
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| What determines how the preop assessment is carried out? | The urgency of the surgery.
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| When is a more thorough preop assessment warranted? | When the surgery is NOT urgent.
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| If client has not followed preop instructions what should you do? | Notify physician immediately
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| When is the best time during preop to teach the patient? | Relatively close to the time of surgery.
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| In terms of pre-op Pt care, What does turning improve? | venous return, respiratory function, gastrointestinal peristalsis
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| In terms of pre-op care, what facilitates the removal of retained mucus from the respiratory tract? | Coughing excersises
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| What should be done before coughing to help stimulate the coughing reflex? | Deep breathing.
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| What excersize helps expand collapsed lungs and prevent postoperative pneumonia and atelectasis? | Deep breathing exersises
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| How often should deep breathing excersises be conducted? | 5-10 times every hour
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| How often should an incentive spirometer be used? | 10 times during each waking hour for the first 5 days after surgery
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| When should an incentive spirometer not be used? | Immediately before and after meals.
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| What device is used to encourage deep breathing? | Incentive spirometer
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| How should the PT be positioned for the use of an incentive spirometer? | Have patient sit upright with head of bed elevated 45 degrees.
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| What should the PT do before using a incentive spirometer? | The PT should take 2-3 normal breaths
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| How long should the PT hold their breath after inhaling from a incentive spirometer? | 3-5 seconds.
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| What do leg excersizes help prevent? | circulatory problems, such as thrombophlebitis, "gas pains“
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| By what must leg excersizes be individualized? | *patient's needs *physical condition *physician preferences institution's protocol
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| How often should leg excersizes be repeated? | Every 1-2 hours
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| What is Homans Sign? | pain in the calf with dorsiflexion of the foot, indicating thrombophlebitis or thrombosis
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| What are at-risk conditions of antiembolism stockings? | *pigmentation around ankles *pitting edema *peripheral cyanosis
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| What form covers the Request for Administration of Anesthesia and for Performance of Operations and other Procedures, and when should it be filled and signed? | SF 522, prior to surgery
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| When is the client put on NPO before surgery? | The midnight before.
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| True or False: A witness to a signature is attesting to patient's understanding the surgical risks | False. The witness is witnessing the patient's signature.
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| How will you instruct the PT to turn? | to raise one knee, reach across to grasp the side rail (on the side toward which he/she is turning) and roll over while pushing with the bent leg and pulling on the side rail.
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| What is useful in splinting the incision while the PT turns? | A small pillow, folded towel, or laced fingers.
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