Meds
Do you give a diuretic before surgery?
Hold diuretics the morning of surgery
The nurse will expect the skin_____ around the painful area?
Red or darkened
True or False: You only need to empty the drain when it is completely full.
False: The drain should be emptied every shift or when 2/3 full.
Top 2 factors for surgical complications?
Older than 65 and obesity
How often do you assess the wound/incision?
Every time you get vitals or are in the room.
A patient scheduled to have surgery next month tells the nurse that she will take her aspirin as usual until the day of surgery. Should the nurse intervene?
Yes, aspirin should be avoided for at least 2 weeks prior to surgery.
The skin will feel ______ around the painful area
warm
True or False: RNs may take reinsert a drain if it comes out
False! The provider who placed the drain will reassess and decide if it needs to be put back in or not. If they feel it needs to be placed again they will do so.
True or False: OR time greater than one hour is not a factor of surgical complications
False surgeries taking over an hour are factors of surgical complications.
How often are post-op vitals?
15x4,30x2,1x4,4x24
True or False: Insulin dose should be increased before surgery
False. The dose of insulin given should be reduced. Blood sugar should be checked and treated before surgery.
What is the top warning sign of a DVT?
Swelling
How are all of the drains alike?
They all cause a risk for infection.
Difference between dehiscence and evisceration.
Dehiscence is a partial or complete separation of the outer wound layers. Evisceration is the total separation of all wound layers and protrusion of internal organs. (evisceration is a surgical emergency.)
How far in advance can the consent be signed in order to be valid?
24hrs
When can acid reducers for GERD be taken before surgery?
Acid reducers may be taken the morning the surgery
How do you treat DVTs
Ambulation, fluids, TEDs, anticoagulants
Which drain has the highest risk of infection?
Does anesthesia wear off faster with obesity?
No, the fats holds onto the anesthesia longer.
Why would an infection need to be treated before surgery?
Treating the infection prevents the spread of the infection that can cause sepsis.
True or False: It is okay to take inhalers for COPD/Asthma on the morning of surgery.
True
What are the most critical interventions for preventing DVT's?
Ambulation, TEDs, SCD's, increasing fluids.
What surgery would you most likely see a Jackson Pratt (JP) drain used?
Mastectomy
First action during evisceration.
Cover with saline-soaked gauze. Another staff member calls a rapid response/ provider.
When should the prophylactic antibiotic be given?
Within one hour before surgery.