Labs, Meds, and Math Oh My!
The normal range for PT
What does PT stand for?
10-12 seconds
Prothrombin time
Right Middle Lobe
Surgical Risk Factors
Chronic illness: Diabetes Mellitus
Advanced Age/Infants
Malnutrition
Dehydration
Obesity
Cardiovascular problems
Peripheral Vascular Disease
Substance abuse, alcohol, cigarettes,
Excessive fear
cutane
skin
Religious group who will not accept blood transfusions
JW
Patient education for postop patients
Turn, Deep breathe Cough, Incentive Spirometer, Foot and Leg exercises,
The normal range for aPTT
What does aPTT stand for?
20-35 seconds
activated Partial Thromboplastin Time
VO
Verbal Order
Prevent Surgical Site Infections
-Administer prophylactic antibiotics just before incision time.
Do not remove hair at the incision site. If it is essential, use clippers immediately before surgery.
Blood sugar should be below 200mg/dL in the first 48 hours post op
Body temp during and after surgery should be maintained at 97-99F
Prepare skin in OR with alcohol-based solution
Instruct patient to shower with soap the night before the procedure.
pilo
hair
what is the normal range for pt?
10-12 seconds
PACU nurse responsibilities:
Prevent aspiration and promote lung expansion
Keep patient warm
vs
keep quiet environment
The normal range for INR
What does INR stand for?
0.9 1.2
International Normalized Ratio
WBC
White Blood Cell
What is the patient aware of during general anesthesia?
Patient is in a deep sleep state with muscle relaxation. Not aware of anything going on in operating room
Lysis
removal or destruction
what is the normal range for aptt?
20-35 seconds
PostOp Vitals
Q15 x 1 hour
q30 x 2 hours
qhour x 4 hours
Therapeutic range of INR while on warfarin
2-3
Type and Crossmatch
T&C
Do not have them sign the consent. Refer the matter back to the surgeon.
-ectomy
cutting out or off
what is the normal range for INR?
When can the patient eat after surgery?
When bowel sounds return
Why do we give enoxaparin?
Prevent blood clots like DVTs, PE
URI
Upper Respiratory Infection
Can you get consent over the telephone?
Telephone permission may be given as long as there are 2 witnesses.
-ostomy
creating an outlet
When do you assess surgical site?
-when patient returns to unit
-then every hour x 4 hours
-then q2hours
Rubbing legs after surgery is a good way to promote circulation.
True or False
False. May disrupt a clot and cause embolus
A patient complains of pain to left leg level 8/10. Which medication would you expect to administer?
a. coumadin
b. warfarin
c. hydrocodone
d. colace
c. Hydrocodone
^
Increased
Indications of latex allergy may be reactions to :
avocados, kiwi, bananas, chestnuts, potatoes, peaches, or apricots.
-otomy
cutting into
What do you do if the dressing is saturated with blood?
-Reinforce the dressing
- Notify the surgeon
*Don't remove dressing without an order.
*Check under the patient for pooling
Best way to prevent spread of infection
Good hand hygiene