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Age, chronic disease, emotional responses, nutrition,
smoking, alcohol and/or drug abuse
What are factors influencing surgical outcomes?
What are the roles of the LPN in the intraoperative phase?
Wound care, medications, complications, equipment, follow-up, include written material.
What is included in postop discharge teaching?
A group of cells that grow out of control and eventually take over the function of the affected organ.
What is cancer?
Airway, breathing, circulation, disability/CNS, exposure
What is the primary survey?
Chest x-rays, pregnancy test, type and cross match, CBC, CMP, PTT
What are preoperative diagnostic tests?
Loss of sensation, consciousness, reflexes, ET intubation.
What is general anesthesia?
Stable vital signs, alert and awake, respirations not depressed, bleeding is controlled.
What are some PACU discharge criteria?
Viruses, chemicals, irritants, genetics, diet, hormones, immune factors.
What are risk factors for cancer?
Penetrating (open), Blunt (closed)
What are classifications of injuries?
Npo, labs complete and on chart, consent has been signed, ID band on, allergies confirmed, hospital gown is on, glasses/contacts removed, voided, history on chart
What are the items on a surgical checklist?
Loss of sensation to body region, injection of a local agent.
What is local anesthesia?
Pneumonia, DVT, constipation, wound infection
What are possible post-op complications?
Cancer cells 1) invade blood or lymph vessels, 2) move by mechanical means, and 3) lodge and grow in a new location.
What are the steps in metastasis formation?
When the core body temp falls below 95 degrees.
What is hypothermia?
Health history, risk factors, education, discharge planning, referrals, diagnostic testing, advance directive
What is the preadmission surgical assessment?
Rare hereditary muscle disease, triggered by some general anesthesia, potentially fatal, given dantrolene sodium.
What is malignant hyperthermia?
What is third intention wound healing?
CEA, PSA, PAP, AFP, CA 19-9, CA 125, CA 15-3
What are tumor markers associated with cancer?
Spore-forming bacterium found in soil.
What is anthrax?
Ensures patient has been informed.
Directs questions to surgeon.
Signature indicates observed voluntary signing.
What is the LPN's role in witnessing a surgical consent?
Urinary retention, hematoma, nerve damage, spinal headache.
What are complications of spinal anesthesia?
Abdominal distention, bloating, and cramps.
What are signs of a paralytic ileus?
Superior vena cava syndrome, spinal cord compression, hypercalcemia
What are oncological emergencies?
Blocks neurotransmission, by binding to the presynaptic nerve terminal at the neuromuscular junction and prevents the release of acetylcholine resulting in muscle weakness.
What is botulinum toxin?