Shock/Sepsis
What are some common IV crystalloids used for resuscitation in hypovolemic shock?
0.9% NS and LR
What is Informed Consent?
A signed document stating that the patient understands the medical procedure and the risks involved
What should be worn in the restricted zone?
Scrub clothes, shoe covers, caps, and masks
What is dehiscence?
The partial or complete separation of wound edges.
What are some signs of the Compensatory Stage of Shock?
Normal BP, HIGH heart rate, restlessness, LOW pulse pressure, LOW pH, HIGH renin
Before a scheduled surgery, the patient expresses concerns and is visibly upset. The patient has more questions concerning the procedure and how it will affect their life. What is the most appropriate nursing action for the nurse to take?
Call the physician to review the procedure with the client.
What is time-out?
Procedure to verify the correct patient identity, surgical procedure, and surgical site prior to surgery.
Who changes the patient's first dressing after surgery?
First dressing is changed by the surgeon .
What is Neurogenic Shock?
Shock from injury to the spinal cord or nervous system and can manifest as bradycardia, hypotension, syncope, and dry/warm skin.
What is palliative surgery?
Palliative surgery relieves symptoms of an incurable disease to improve quality of life and/or comfort but does not cure disease.
What is Stage IV: medullary depression?
This stage is reached if too much anesthesia has been given. Respirations become shallow, pulse is weak and thready, dilated pupils, cyanosis, and without prompt intervention, death rapidly follows.
What is airway patency?
The first assessment a nurse should perform on a newly admitted postoperative patient.
What are the signs of SIRS criteria, and what constitutes sepsis?
T: <96.8F >100.4F
RR: >20
HR: >90
WBC: <4,000 >12,000; >10% Bands
PCO2: <32mmHg
Sepsis: 2 SIRS + infection
What are the differences in preop tasks between surgeons and RNs?
The surgeon is responsible for information and consent, the RN helps clarify questions and can be a witness for consent
It is a rare, life-threatening, hypermetabolic skeletal muscle disorder caused by exposure to a triggering agent such as volatile gas anesthetic
Malignant hyperthermia
What is Pneumonia?
Common postoperative complication: Inflammation of lung tissue that causes productive cough, dyspnea, and lung crackles and can be caused by the retention of pulmonary secretions.
What are medical and nursing management for the compensatory stage of shock?
Treat underlying cause, fluid replacement, supplemental oxygen. Maintain BP and tissue perfusion, frequent assessment, promote safety (advance directives)
This medication should be stopped 7-10 days before any surgery.
What are nursing interventions for patients with malignant hyperthermia?
Administering dantrolene, cooling the patients by using ice packs, cooling blankets, chilled intravenous (IV) fluids.
What is atelectasis?
The most common cause of postoperative hypoxemia, which may be the result of bronchial obstruction caused by retained secretions or decreased respiratory excursion.