Pain
Having a client focus on a favorite place such as the beach or mountains is a form of this non-pharmacological pain management technique.
What is Guided Imagery?
A 5 year old child should be given this pain scale to rate their pain.
What is Wong Baker Face scale?
IV sedative medications used alone or in conjunction with local anesthetics which depressed level of consciousness; but patients are able to respond to verbal stimuli; used to induce sleepiness and relieve anxiety; results in amnesia about procedure
What is Conscious Sedation?
Name 4 interventions to be use on a post op client who is having pain
Remind the client to use incisional splinting.
Identify the client's pain level.
Change the client's position.
Offer the client a back rub.
Consider medication
Consider non-pharmological interventions
•Hemorrhage
•Hypotension and shock
•Postoperative hypertension and abnormal pulse rates
•Hypoxia and hypoxemia
•Hypothermia
•Hyperthermia
•Neurologic complications
•Possible for complication to be related to preoperative substance abuse and sudden withdrawal
What is immediate post-op complications?
OPQRST Mnemonic stands for..
What is onset, provocation/palliation, quality, radiation/region, severity, timing.
Pre-operative; intro-operative; post-operative
Timespan that includes preparation for, the process of, and recovery from surgery-- Peri-operative Care
•I: beginning anesthesia
•II: dreams and excitement
•III: surgical anesthesia
•IV: danger stage
What is the stages of anesthesia?
•Pain
•Thirst
•Abdominal distention
•Nausea
•Urinary retention
•Constipation
•Restlessness and sleeplessness
What are post-op discomforts?
These places are used for less complicated surgeries.
What are ...Walk-in or ambulatory center, surgicenter, short-stay center, or same-day surgery center?
Initial nursing intervention of complaints due to opioid induced constipation.
What is increasing fluid intake, ask for an order for a stool softener, ambulate early?
If a patient reports pain, this is the nurse's first action.
Assess the pain- determine the location and use OPQRST for full assessment
•Weight and eating disorders
•Hydration status, electrolyte balance
•Age, lifestyle factors
•Substance abuse, use of certain prescription drugs
•Preexisting physical disorders
•Psychological status, physical activity status
•Living situation
What are factors to be assessed for surgical risk?
•Identifies assessments, medications, and other physical preparations that must be completed before client is anesthetized
•All items should be completed and checked off before client goes to surgery
•If ambulatory or day surgery, client must provide responsible adult escort or driver to take home
What is the pre-op checklist?
When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects.
What is reduction of anxiety, reduction of pain?
Nonpharmacologic approaches to pain management.
What are sleep, heat and cold, menthol, distraction, relaxation, guided imagery, meditation, hypnosis, biofeedback, music, finders, massage, acupuncture and acupressure, transcutaneous electrical nerve stimulation and spinal cord stimulator.
Pain Scale used for those less than 3 years old or unable to communicate appropriately.
What is FLACC scale?
•Optional/elective surgery
•Required/nonelective
•Urgent/nonelective
•Emergency
What are types of surgeries?
A safety protocol used in healthcare to ensure that all team members are aligned and that key safety checks are completed before proceeding. The purpose is to prevent errors related to patient identity, surgical site, and procedure.
What is a "Time Out?"