Pre-Op
Who is responsible for ensuring the patient is informed of risks/benefits of surgery?
Surgeon
(obtains informed consent)
Nurse witnesses patient's consent
2 Side effects of an epidural with narcotic and bupivicaine
What is urinary retention and post-dural puncture headache
What is the treatment for a post-dural headache? RN care for these patients?
Why is turning, coughing and deep breathing so beneficial to the post-op patient?
Decreases risk of pneumonia, decreases atelectasis
RN implications
Engage patient
Goal for a patient with chronic pain
What is can engage in social activities, complete hobbies, have manageable pain (3/10)
Nursing implications/education for patient taking NSAID's
Don't take on empty stomach, can cause GI bleeding, black/tarry stools are concerning-contact provider
What patient information is important to relay to the anesthesiologist ? List 3
Pt takes supplements, pt drank/ate full meal day of surgery, pt used meth day of surgery, pt last ate eggs and bacon 2 hrs ago, etc
What about sedative/drinking night before?
These foods might indicate a latex allergy
Banana, avocado
What safety interventions should be completed?
When would a jaw thrust maneuver be appropriate?
Unconscious patient, someone that is not protecting their airway, Immediate Postop patient
Therapeutic dosing of Tylenol for patient with chronic pain
650 mg
Extra strength 1000 mg
2 Statements made by the OA patient that require further teaching.
I can use ice when I have stiffness. I should remain active all throughout the day. I can take NSAIDs on an empty stomach, etc.
2 RN interventions for pt receiving MAC anesthesia
What is start a PIV, place patient on monitor, assist anesthesiologist with patient care during procedure, etc
2 indications for use of an incentive spirometer?
What is post op fever, low sp02, prevention of pneumonia, etc
Therapeutic dosing of NSAIDs for patient with advanced arthritis
400-600 mg
2 Sign/symptoms of OA
Loss of height-#1 s/s, back pain, etc.
What is the definition of referred pain?
Pain felt in a part of the body other than its actual source
Ex- Kidney pain felt in thigh, MI felt in arm
Measures to reduce OA symptoms (non-pharmacological)
Weight reduction, healthy diet, low impact activity and other exercises, etc
Imaging used to diagnose OA
DEXA (Dual-energy X-ray absorptiometry) scan