Positioning
AORN guidelines for pt. positioning include:
1. Follow sugeon and anesthesia orders
2. Consistent process for every pt.
3. Use addl precautions as approp. based on pt. unique considerations.
What is 3. Use additional precautions as appropriate
based on pt. unique considerations.
AHA considers PETCO2 normal range
What is 35-45 mmHg
Name the type of SOB characterized by difficulty breathing in a particular position, typically laying flat.
Orthopnea
This rhythm is a sinus AV rhythm of 150-250 and is regular.
What is supra ventricular tachycardia
Most likely result from pos. pt. in the prone position?
A. Circ. and resp. compromise
B. Circ. pooling in lower legs
C. Pressure on the peroneal nerves
What is 'A' Circulatory and respiratory compromise
A. Succinylcholine
B. Propofol
C. Ketamine
D. Versed
Name 2 items used in the OR that must be plugged into 'red' outlets
What is the Anesthesia machine,life safety/critical equipment. EKG, Oximeter, BP machine, etc.
3 things you must check prior to opening a sterile item.....
What is pkg. integrity, expiration date, chemical indicator.
According to the 2018 AORN guidelines, the operating room must have a minimum of how many air exchanges per hour.
20
Should be considered in the perioperative assessment for positioning (choose all that apply)
A. Patient's ability to ambulate post-op
B. Duration of surgery
C. Positioning required
D. Type of draping used
What are B and C
According to AORN, how quickly must backup power become available?
What is 10 seconds.
AORN/CDC recommends everyone wear 2 of these at the sterile field.
what are pairs of gloves
This common OR nursing action assists in prevention of infection, hypoxia, and bradycardia (in children)
Patient warming
The table is flexed 90 degrees and is a variation of the prone position.
What is Kraske or Jackknife pos.
2 Classic s/s of pneumothorax include
What is Chest pain, tracheal shift, dyspenea, decreased lung sounds
Fingernail overlays, polish, extension, and false eyelashes are permitted in this area of perioperative services.
None
ASPAN/AORN and AST agree that this is the highest priority and must be assessed first upon admission to the PACU
What is Oxygenation/Adequate Ventilation
The geriatric pt. is at greater surgical risk due to (name 3)
What is coexisting disease, age related changes to physiology (heart lungs etc.) polypharmacy, nutritional status, frailty.
This term is the result of tissues moving on one another
What is shearing
Name of the pediatric weight based resuscitation supply cart
What is a Broselow Cart/Kit.
This solution is the only for Local Anesthesia Toxicity that may occur in the course of a regional block
20% Lipid solution (Immediate 100cc bolus over 2-3 min. then 200cc-250cc over 10-15 minutes)
This type of hernia repair requires a special balloon device used by some surgeons at FMH
What is Extraperitoneal Hernia Repair
Name 2 complications associated with post op Nausea and Vomiting
What are dehydration, electrolyte imbalance (hypokalemia, hyponatremia) increased length of stay in PACU.