STDs N Me
What is a latency period and which STD has it?
A latency period is when there are no signs and symptoms and syphilis has that
For the first step of the chain of infection, name two things requires for the chain to begin
Susceptible host, causative organism, a reservoir, mode of transmission, mode of entry, and portal of exit
What is the preoperative phase?
when the decision to proceed with surgical intervention is made and ends with the transfer of the patient onto the operating room bed
What can you do to protect a patient from injury in the intraoperative phase?
What are some of your ABCs?
Assess airway, respiratory function, cardiovascular function, skin color, LOC, ability to respond
Genital herpes common symptoms are?
Small, fluid-filled blisters on the genitals, buttocks, or mouth
What is colonization?
microorganisms present without host interference or interaction
List 2 preadmission testing steps
initiating the nursing process, vitals, admission data, verifying the completion of pre-op diagnostic testing, discharge planning for post-op care
List 3 gerontologic considerations in intraoperative
age-related cardiovascular and pulmonary changes, decreased elasticity, decreased liver metabolism, impaired ability to regulate temperature
To leave the PACU, what should you have an 8 or higher in?
Aldrete score- stable vitals, O2 sat, respiratory function
Bacterial vaginosis treatment includes? (100 bonus points for two symptoms)
Treatment is prescription cream, gels, or medication (ABX). Symptoms include gray vaginal discharge, itching, fishy odor
List 4 things that make someone a susceptible host
immunosuppression, diabetes, surgery, burns, elderly
Pre-operative assessment, list 6 things
history, physical, medications, allergies, nutritional status, dentition, drug n alcohol use, respiratory and cardiovascular status, hepatic, renal, endocrine, immune function, previous medications, psychosocial factors, NPO, CHECK ID, spiritual and cultural belief
The restricted zone of the operation room requires which clothing?
scrub clothes, shoe covers, caps, and masks
OH NO, not the daily double, no literally, it is not the daily double, you are having an opioid overdose what do you do? After you do that, you have a Benzo overdose, what do you do?
Narcan, flumazenil
What may men and women see with pelvic inflammatory disease (list 3 symptoms)?
Arthritis, bloodstream infections, ectopic pregnancy, endometriosis, infertility, and epididymitis
List 4 Infectious Agents
bacteria, fungi, viruses, rickettsiae, protozoa
With informed consent, it is important that it is _______ on paper, there is a _______ for the signature, assessment of _______ medication use, and if the patient has the _______ to make the decision.
written, witness, opioid, capability
The "time out" is very important, what might someone who is in the "time out" focus on?
What do you look for in a hemorrhage?
Tachycardia, increased RR, assess pressure points
List the 5 P's of confidentiality for STDs
Partners, prevention of pregnancy, protection from STIs, practices, and past history of STIs.
List 4 means of transmission
direct contact, indigestion, fomites, airborne
When is informed consent necessary?
High-Risk for bad outcomes:
Invasive procedures, such as a surgical incision, a biopsy, a cystoscopy, or paracentesis
Procedures requiring sedation and/or anesthesia
A non-surgical procedure, such as arteriography, that carries more than a slight risk to the patient
Procedures involving radiation
Blood product administration
When in intraoperative procedures, what is the highlighted complication in the study guide?
Malignant hyperthermia, a rare inherited muscle disorder that is caused by an anesthetic agent
List 8 postop complications.
pulmonary embolism, hypovolemic shock, urinary retention, pneumonia, atelectasis, infection, dehiscence, evisceration, gastric dilation, paralytic ileus