Pre-Op
The required size of the IV to enter the OR
What is an 18 gauge IV?
q2H while awake
What is the frequency for post-op pain checks?
A drain that allows fluid to drain passively by gravity
What is a PENROSE drain?
Respiratory depression, nausea/vomiting, and pruritis
What are side effects of opioid administration?
Preferred anesthesia for lengthy surgeries requiring muscle relaxation
What is general anesthesia? (IV/Inhaled)
The timeframe required to complete baseline pre-op VITALS
What is no longer than 2 hours before surgery?
What are post-op respiratory complications?
The maximum amount of time between gauze dressing changes
What is 48 hours?
DB&C exercises, post-op expectations, client reassurance
What are examples of pre-op teaching?
What is prophylactic antibiotics and patient pre-warming?
Dehiscence, hematoma, or infection
What are surgical incision complications?
The requirement prior to irrigation of a drain
What is a physicians order?
Dose, lockout interval, and 4 hour dose limit
The scope of practice required to remove an epidural catheter.
What is RN with special certification?
CBC, Coags, Renal function, Liver function
What are required pre-op lab tests?
Impairment of intestinal motility 2-3 days post-op
What is paralytic ileus?
The opioid reversal agent
What is Naloxone?
Prophylactic anticoagulation sub-Q injections (dose based on patients weight)
What is Tinzaparin?
What are components of the pre-op checklist?
Decreases risk of post-op complications such as thrombus formation and pneumonia.
What is early post-op ambulation?
In order to ensure safe removal of a drain, consider this very important step.
What is releasing the vacuum seal/suction?
Rapidly rising sensory and motor block, bradycardia, hypotension, respiratory distress and cardiac arrest
Must begin as early as possible to prepare patient for optimal health outcomes
What is post-op discharge teaching?