Chap 95- Preop Nursing Care Flashcards
Three categories of inpatient surgical procedures
Emergent, urgent, and elective
Care that takes place from the time a client is scheduled for surgery until care is transferred to the operating suite
Preoperative care
Risk factors for surgical complications in pts w/ obstructive sleep apnea
Airway obstruction
Oxygen desaturation
Risk factors for surgical complications in pts that are pregnant
Fetal risk w/ anesthesia
Risk factors for surgical complications in pts w/ respiratory distress
COPD, pneumonia, asthma
Risk factors for surgical complications in pts w/ cardiovascular disease
Heart failure
Myocardial infarction
HTN
Dysrhythmias
Risk factors for surgical complications in pts w/ DM
Decreased intensional motility
Alter BG levels
Delayed healing
Infection
Risk factors for surgical complications in pts w/ liver disease
Altered medication metabolism
Increased risk for bleeding
Risk factors for surgical complications in pts w/ kidney disease
Altered elimination And medication excretion
Risk factors for surgical complications in pts w/ endocrine disorders
Hypo/hyper thyroidism
Addison’s disease
Cushing’s syndrome
Risk factors for surgical complications in pts w/ immune system disorders
Immunocompromised
Risk factors for surgical complications in pts w/ coagulation defect
Increase risk of bleeding
Risk factors for surgical complications in pts w/ malnutrition
Delayed healing
Complications from sedatives (benzodiazepines, barbiturates) during post op period and nursing actions
Respiratory depression, drowsiness, dizziness
Nursing actions:
Monitor respiratory rate and o2 sat
Admitted o2
Administer reversal agent ~ flumazenil
Complications from opioids during post op period and nursing actions
Respiratory depression, drowsiness, dizziness, constipation, urinary retention
Nursing actions: Monitor RR and o2 sat Administer o2 Admitted reversal agent ~ naloxone Perform prescribed intermittent catheterization
Complications from IV infusions during post op period and nursing actions
Fluid overload and hypernatremia
Nursing actions:
Monitor I&O closely
Slow the IV fluid rate of infusion
Admitted prescribed diuretic
Complications from GI meds (antiemetics, antacids, H2 receptor blockers) during post op period and nursing actions
Alkalosis, cardiac abnormalities, drowsiness
Nursing actions:
Obtain preop cardiac HX
Monitor for electrolyte abnormalities
A nurse is providing preoperative teaching to a client who is to have abdominal sx. Which of the following statements should the nurse make? (Select all that apply)
A) “take your heart meds w/ a sip of water before sx”
B) “splint that abdominal incision w/ a pillow when coughing and deep breathing”
C) “bed rest is recommended for the first 48hrs”
D) “anti-embolism stockings are applied before surgery”
E) “you can eat solid foods up to 4hrs before surgery”
A, B, and D
