Pre-Op
While reinforcing the information needed for informed consent, the Nurse realizes that the patient is confusedregarding the upcoming procedure; this individual is responsible for explainingthe procedure and obtaining informed consent.
Who is the Physician
**Nurses reinforce, the physician must explain.
These specialized nurse roles carry out nursing interventions in the Intraoperative phase.
Who are Scrub Nurses andCirculating Nurses
A nurse changes a dressingand notices a thick, milky,liquid discharge from awound that she believes isan indication of infection.The nurse has observed thistype of drainage
What is Purulent drainage
Complications of this formof anesthesia can be a real headache and will have patients lying down on the job.
What is Regional or LocalAnesthesia
Also accepting:Spinal/Epidural Anesthesia
**Assessment should focuson the neuro and vascularresponses of the area.
**Patients should lay flat ontheir back after use of thisanesthesia
What is the best thing about Chocolate?
Everything !!!
Patients with vision-relate dissues can still provide this if there are accommodations in the written methodology, such as the use of brail, and the physician has fully explained the procedure.
What is informed consent
Monitoring for this conditionis crucial in both theintraoperative and postopphases. Patients are at riskfor this impaired regulationafter prolonged exposure to the OR.
What is hypothermia
Nurses in this specializedcare setting focus on thefollowing: protecting theairway and respiratorystatus, LOC, TPR, O2 Sat,BP, and maintenance of thesurgical area.
What is the PACU
Ventilation, hemodynamic stability, post-op pain,incision integrity,neurological status, and spontaneous voiding are priority concerns along with the management of this.
What are anesthesia-relatednausea and vomiting
Nurses should assess two key areas distal to the incision site after use of regional anesthesia.
What are distal pulses and capillary refill.
One of the goals ofpreoperative nursing is well-timed education on optimal lung expansion.This includes education on splinting of the incision site,coughing and deep breathing exercises and use this specialized device.
What is an incentive spirometer.
As you prepare to enter theIntraoperative phase, thenurse must verify the patient's name and date of birth, the surgical procedure, and the surgical site and ensure this is up
What is Informed Consent
To reduce the chances of contamination and postop infection, bowel surgeries use these medications typically given the night before. This minimizes the risk of colon injury,improves visualization of the bowel, reduces the number of intestinalbacteria, and decreases the risk of contamination of the peritoneum
What are laxatives and enemas
Reversible loss of consciousness induced by inhibiting nerve impulses within the CNS, thus effecting the whole body. Administration results in analgesia and amnesia, but beware of post-administration respiratory complications
What is General Anesthesia
This type of catheterizationis the preferredmethodology if a patienthas not voided within 8hours after their procedureand is experiencing bladderdistention despite non-invasive interventions.
What is straight intermittent catherization.
There are a host ofmedications that may affectthe surgical experience,including opioids, sedatives,antibiotics, anticoagulants,over-the-counter, andherbal medications, amongothers. This medicationshould be stopped 72 hoursbefore surgery to allowplatelet function to return tonormal. It's simple; even a baby could do it!
What is Aspirin
This group of patients isoften at increased risk ofhypothermia during general anesthesia administration in the surgical procedure.
Who are older adults
Nurses must work inconjunction with themultidisciplinary team toassess these behaviors forthe post surgical patient toensure safe dischargeplanning and placeme
What are the Activities of Daily Living
General anesthesia may cause significant adverse effects in this population,including atelectasis and respiratory depression due to weakened expansion of the lungs.
Who are older adults
Typically used for short procedures, the nurse is responsible for monitoring the patient's respirations,pulse, and LOC with this type of anesthesia. It reduces sensory perception but allows the patient to maintain a patent airway; it is short-acting with rapid return to ADLs.
What is Conscious Sedationor Moderate Sedation
CBC or hemoglobin leveland hematocrit, clotting studies (PT, INR, PTT).Electrolyte levels and thislab are essential to obtainduring the preoperative phase, especially when we consider how anesthesia is filtere3d
What is Serum Creatinine
This inherited muscle disorder is an acute and life-reatening complication resulting from certain anesthesia drugs.This manifests as a rise in CO2 levels, a decrease inO2, high calcium and potassium levels, leading to acidosis, tachycardia and cardiac dysrhythmias. If you follow this progression you'll be burning up!
What is Malignant Hyperthermia
Chronic use of this medication group can cause delayed wound healing after a surgical procedure and, insevere cases, can lead toincisional dehiscence
What are Corticosteroids
This medication is the drug of choice for the life-threatening complication of Malignant Hyperthermia.
What is Dantrolene Sodium
**This is a muscle relaxerand the drug of choice forthis condition.
**Positive outcomes aredependent on earlyrecognition of S/S anddiagnosis
This response to proteins ina naturally occurringsubstance can be a severehealth concern duringanesthesia. It can cause arange of reactions from mildskin irritation to life-threatening anaphylaxis
What is Latex or LatexAllergy
**Because of the potentialfor severe reactions, anypatient with a known latexallergy must be identifiableand reported to theanesthesiologist