IMAGINE THE IMAGES
The type of imaging required before initiating feeds or administering medication through a nasogastric tube.
What is a chest x-ray for placement?
A small tool to promote lung expansion and prevent atelectasis and pneumonia post-operatively.
What is an incentive spirometer?
A surgical wound closed with staples is said to be healing by _____ intention?
What is primary intention?
What is BNP and troponin?
Your patients INR is 1.9 and they need to go for an invasive procedure that requires the INR to be less than 1.4. What reversal agent can be administered to accomplish this?
What is vitamin K?
Procedure that combines upper GI endoscopy and x-ray to find and treat problems with the bile and pancreatic ducts, such as gallstones.
What is an endoscopic retrograde cholangiopancreatography (ERCP)?
*Bonus: What acute condition do you need to monitor for after this procedure?
Name two non-pharmacological interventions to reduce blood clot formation post-operatively.
What are TED stockings?
What are SCUD machines?
What is early ambulation/frequent repositioning?
Jackson-Pratt and Hemovac drains are commonly inserted intraoperatively to avoid fluid build-up and pressure at the surgical site that operate by?
What is compression or suction?
These markers reflect kidney function and are routinely checked pre-and post-operatively.
What is BUN and creatinine?
May be prescribed prophetically for the purpose of reducing postoperative complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE).
What is fragmin (dalteparin) or heparin?
A post-operative patient who developed a fluid collection or abscess and is on IV antibiotics requires pain control, bloodwork monitoring, and this type of imaging for periodic evaluation.
What is a CT scan?
If a patient arrives for a scheduled surgery and says this, surgery will likely be cancelled (multiple options)
What is not having a drive home?
What is having something to eat/not being NPO?
What is continuing to take medications, such as blood thinners?
The term used to describe output from surgical ostomies.
What is effluent?
Two nursing considerations in a patient with a nasogastric tube with high, bile-like outputs.
What is fluid resuscitation and electrolyte balance?
The name of a catheter inserted into a patient's back that delivers pain control medications following major surgery, such as dilaudid, morphine, and fentanyl. This can be titrated by nursing staff following anesthesiologist orders.
What is an epidural?
You and the MRP assess your patients wound, which has new purulent exudate on it. For its antimicrobial properties, you have collaboratively decided to use acticoat, a silver-based absorbent dressing. This dressing would be important to remember when going for what imaging?
What is an MRI?
The nurse may serve as a witness to the client's signature on this after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
What is informed consent?
The two main types of surgical ostomies we will see that are based on location, either in the small intestine or colon.
What is an ileostomy and colostomy?
A quantitative scale used to quickly determine the degree of illness of a patient. Scaled factors include respiratory rate, oxygen saturation, supplemental oxygen, temperature, heart rate, systolic blood pressure, and level of consciousness.
What is an Early Warning Score (EWS)?
Examples include Dilaudid, Morphine, codeine and Percocet. May be administered at prescribed intervals or given as needed (PRN).
What are opioid-based analgesic medications?
A contrast medium which contains iodine. Commonly given prior to CT imaging in several doses to clearly show areas of the GI tract.
What is gastrografin?
The name of the place where all policies are electronically stored for Nova Scotia Health and the IWK Health Centre.
What is OP3: One province, One process, One policy?
Two possible options to provide support and compression to reduce swelling and pain, without compromising circulation.
What is Tubigrip and Edema Wear?
Nutrition delivered via IV or CVAD that requires close monitoring of bloodwork and glycemic index.
What is peripheral parenteral nutrition (PPN) and total parenteral nutrition (TPN)?
Useful for patients who have undergone surgery and are expected to experience significant or prolonged levels of pain. May be administered by continuous infusion, or bolus dose as necessary.
What is a patient controlled analgesia (PCA) pump?