Period starts with pt admission to OR and ends with transfer to PACU.
Intraoperative
135-145
Replacement of lost cells and tissues with cells of the same type.
(Ex. mucous membranes, bone marrow, pancreas)
Regeneration
Clinical manifestation of a fever.
- increasing temperature = fever and chills
- decreasing temperature = diaphoresis
Sedation and analgesic effect
Given with midazolam to decrease SE of hallucinations, nightmares, and delirium.
ketamine
National Patient Safety Goals
-Using two patient identifiers
-Maintain/communicate accurate information about patient meds
-Hand hygiene
-Label meds and solutions not given immediately
-Report test results to appropriate person in timely manner
- Use evidence based practice to prevent HAIs.
BUN
6-20
The three phases of Primary Intention.
1. Initial Phase
2. Granulation Phase
3. Maturation Phase/Scar Contraction
A beneficial fever is a temperature of ___.
103o
Causes loss of muscle movement to prevent inadvertent pt movement and provide improved access to surgical site.
succinylcholine
Pre-Operative Nursing Roles
Assessing, coordinating, implementing preparation.
Evaluating/ensuring patient readiness for surgery.
Teaching
Serum Creatinine
0.6-1.3
An example of healing by _____.
Increased metabolic rate, diaphoresis (insensible fluid loss), and decreased oral intake puts a patient at risk for ______.
deficient fluid volume
Used for prophylactic prevention of N/V
____ and _____.
ondansetron
prochlorperazine
Inra-Operative Nursing Roles
Patient safety
Patient advocacy
Psychological support
Hemoglobin
11.7-17.3
Initial color of wound drainage after surgery.
Sanguineous "bloody"
Nursing interventions when a patient has hyperthermia.
- monitor temperature and VS
- adjust environment to meet pt needs
- administer antipyretics as ordered
- immunosuppressed = antibiotics
- cooling blankets = adjunctive interventions
dantrolene
Post-Operative Nursing Roles
Promoting comfort
Identify/prevent potential complications
Teaching for continuing care
11-16 seconds
While assessing your patient's wound you notice it is not approximated, what should you do?
Dehiscence
1. apply non adherent sterile dressing
2. have pt bend knees and avoid coughing
3. notify surgeon
Post-op day 2:
A temperature of >100.4 would indicate ____.
lung congestion, dehydration, atalectisis
Used preoperatively to decrease oral/respiratory secretions and relaxes bronchi
atropine