Ch 32 Small Animal surgical nursing - lecture Flashcards
What are the preoperative patient assessment criteria?
- surgical candidate
- primary problems
- elective and emergency demands not the same
- 12 hour fasting
- ASA - American Society of Anesthesiologists
What are the 5 levels that the ASA has a set standard for on whether or not a patient is ready for surgery?
P1 minimal P2 Low P3 moderate P4 high P5 extreme
What does P1 minimal mean?
normal healthy patient (OHE, Declaw, castration, etc)
What does P2 Low mean?
patient with mild systemic disease (neonatal, geriatric or obese)
What does P3 mean?
patient with severe systemic disease (anemia, moderate dehydration)
What does P4 mean?
patient with systemic disease, constant threat to life
What does P5 mean?
Moribund, not expected to survive without procedure
What diagnostic bloodwork is needed before surgery?
PCV
TP
BUN
CBC
What does PCV stand for?
packed cell volume
What does TP stand for?
Total Plasma Protein
What does BUN stand for?
Concentration Blood, Urea, Blood Glucose
What does CBC stand for?
complete blood count
What does perioperative antibiotics do?
- decrease the risk for infection
- clean or unclean contaminated surgeries
- help to controll an active infection
What type of monitoring is needed before and after surgery?
- surgical plane of anesthesia is crucial
- watch for fatal complications
such as blood loss, pain, hypothermia, cardiac and respiratory problems
What are things should be visually and palpably inspected daily when evaluating an incision?
- check hospital environment
- absorb seepage on incision
- do not use ointment and creams on incision - can cause irritation and delay the wound from healing