Preop
Patients cannot wear what, when going in for surgery...
Body jewelry, deodorants, lotions, makeup, nail polish, contacts, and various prostheses
Name 3 responsibilities of the CNA post-op..
Check VS
Identify patient
check pulse points distal to operative site
(many more)
What are the two types of general anesthesia?
Inhalation
Intravenous
What are two things you should report when working with drains?
Leakage, pain, discoloration, and swelling
What is DVT?
Deep Vein Thrombosis
List two places that cannot be shaved from the human body.
Female face/neck, eyebrows
When should instructions for post-op exercises be given?
pre-op with a brief explanation post-op
What are the two types of local anesthesia?
Injection at the local site
spinal cord
What is something to keep n mind when dealing with drains?
Never discontinue, use sterile technique
What are three things to be aware of when applying elasticized stocking?
No wrinkles, Discoloration, Apply in the morning, Avoid contact with lotion
Using the surgical soap that you were provided to use prior to your operation is optional.
False
Why would the CNA check distal pulse points?
check for circulation
What's the difference between local and general anesthesia (where does it block the pain)?
local: blocks pain in the operative area
general: blocks pain receptors at the brain
What are two things to consider when checking/emptying a drain?
character and amount, obstructions and flow, never raise above container above drain
What should you set sequential therapy to?
75-95 mmHg
True
Why would the patient be cold post-op?
Anesthesia, IV fluids, and cold temperature in operating room
What is an important action for the nurse when blocking pain receptors at the spinal cord?
keep head of bed flat
Name two different drains?
Catheter, T-tube, Jackson-Pratt/Hemovac, Penrose/Cigarette
What are 4 ways to prevent DVT?
Leg exercises, Elasticized stockings, Elastic bandages, Sequential Compression therapy
Why should patients fast prior to surgery?
So that they don't aspirate and choke!
What should you do if the patient is vomiting and why?
Turn their head to one side so they don't aspirate
How is the method of administration determined for an anesthetic agent (3 ways)
-location & type of surgery
-length of time needed for surgery
-patient's physical condition
Name three body fluids that drains remove?
Blood, pus, serous drainage, gastric contents
How many times should leg exercises be performed? How frequently?
3-5 times each leg; every 1-2 hours