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Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
100
What is the antedote for opioid overdose?
Narcan
100
Incentive Spirometer should be used how many times per hour while awake?
5-10x's
100
Post-Op pts should cough & deep breathe ________ hours while awake
q2hrs
100
Leg exercises should be performed how often and when?
typically 5x hourly during commericals (as a way for pt to remember)
100
A patient with an chest or abdominal incision should make sure to do what while sneezing, coughing, deep breathing, or even vomiting?
"splint" incision w/ pillow
200
What might the surgeon ask the patient to use at home the night before or the morning of surgery as a way of skin prep?
Antibacterial cleanser
200
Why might the anesthesiologist request a pt keep his dentures in during surgery?
Better placement & hold of ET tube
200
A pt is to be given a pre-op sedating medication while in the pre-op holding area. The nurse should make sure the pt does what before taking this type of med?
empty their bladder; getting up sedated could cause a fall
200
What three meds might you see the surgeon order the floor nurse to give before the pt is brought down for surgery, even though pt is NPO?
Heart, BP & seizure meds w/ sips of water
200
A considerate nurse would make sure the pts consent form is signed & on the front of the chart, the pre-op checklist is on the front of the chart finished, and the pre-op antibiotic that may be ordered is also attached to the front of the chart. What other "item" should be checked & replaced if running low before going off the floor?
IVF bag
300
List 3 things the nurse should make sure is completed before the pt returns to his room after surgery?
Linens changed, room cleaned, emesis basin w/in reach, O2 w/in reach, suction set up & w/in reach
300
Positioning of the surgical patient in OR is important to avoid what two possible conditions?
pressure ulcers/sores on bony prominences & injury to nerves
300
What temp is the OR kept at to keep microorganisms from growing and keep the OR staff cool?
66-70 degrees
300
Name the 3 zones of the surgical suite & which areas are considered sterile?
Unrestricted Zone Semi-restricted Zone- sterile Restricted Zone- sterile
300
Why might an elderly pt require reduced anesthesia doses even after height and weight are calculated?
declining kidney function means meds arent cleared out of the body as quickly as younger adults
400
Regional Anesthesia means admnistering a _____ block into the spinal, epidural, caudal, or peripheral area
Nerve block = regional anesthesia
400
General Anesthesia is induced by having pt _______ ____ or by giving med thru IV
inhale gas General Anesthesia: pt completely knocked out by gas or IV sedation
400
Potential intraoperative complications can include malignant hyperthermia, hypothermia, infection, injury d/t positioning, and __________.
infection pg.77
400
Procedural Sedation Anethesia means the anesthesiologist gives the pt a local anesthetic or regional anesthetic plus___________ to provide systemic analgesia and sedation.
IV Sedation Procedural sedation: nerve block or local + IV sedation for all over analgesia/sedation
400
Local anesthetic means what? Where are these pts transferred after surgery?
area to be worked on is only thing anesthasized; pts goe directly to unit not PACU after surgery
500
Name the 3 goals of Anesthesia:
1. Prevent pain 2. Achieve adequate muscle relaxation 3. Calm fear, anxiety, and induce forgetfulness of unpleasant experience
500
Malignant hyperthermia is an inherited disorder and is an uncontrollable response to surgery & the anesthesia. What increases in the body during this condition?
Muscle metabolism and heat production S/S: fever, tachycardia, cyanosis, tachypnea, diaphoresis, hypotension, irregular HR
500
which part of the OR team is the communication link between the surgeon and outside?
circulating nurse
500
What is actually performed on pt in pre-op holding?
IV started, pre-op meds given, surgical site marked
500
The sterile members of the OR team are required to dress in:
sterile gown, gloves, shoe covers, mask