Chpt. 35:The person and having surgery Flashcards
gen. anesthesisa
loss of consciousness and all feeling or sensation
elective surgery
surgery donw by choice to improve person’s life/well-being
thrombus
blood clot
Anesthesia
loss of feeling or sensation produced by a drug
embolus
blood clot that travels through vascular system until it lodges in a blood vessel
preoperative
before surgery
urgent surgery
surgery needed for the person’s health, done soon to prevent further damage
regional anesthesia
loss of felling or sensation in a large area of the body
emerg. surg.
done immediately to save life or function
sedation
state of quiet, calmness, sleep produced by a drug
the nurse will tell the patient that deep-breathing and coughing exercises will be done when?
every 1-2 hrs when the person is awake
if blood lost is expected during the surgery, what test is done preoperatively?
type and crossmatch
a person NPO for 6-8 before the surgery to reduce…
vomitting and aspiration after the surgery
cleansing enemas may be ordered during and after surgery to…
prevent contamination of ab. cavity during surg.
when does the patient need to void before surgery
before the nurse gives the pre. op drugs
make-up nail polish and fake nails are removed before surgery b/c…
the skin, lips, nail beds, are observed for color during and after surgery
when child is having surgery, what is especially important to report
ANY LOOSE TEETH
if a person is allowed to wear a wedding ring during surgery, what should you do
secure it w/ gauze and tape
if assigned to do a skin prep w/ a razor preoperatively, you should be careful
not to cut,scratch, nick the skin
who is the surgery consent signed by
the person and sometimes nearest relative
when are pre op meds given
before person is transported to op. room
when delegated to assist w. pre op checklist, when must it be completed?
b4 nurse fives pre-op drugs
a person stays in PACU for 1-2hrs after surgery until when
person can respond and call for help
when you prepare a room for surgery what position is the bed
raised for a transfer from a stretcher
you may be assigned to take vitals after surgery. How often are they usually measured
every 15 min. until person is stable
post op. the person is allowed to be positioned…
to allow for easy and comfortable breathing
why are deep-breathing and coughing exercises done after surgery
prevent complications like pneumonia and atelectasis(Complete or partial collapse of a lung or a section (lobe) of a lung.)
when are leg exercises done
@least every 1-2hrs while the person is awake
elastic stockings are used to…
prevent venous blood return to the heart and prevent blood clots
when applying elastic stockings, you should have the person
lie in a supine position
when you assist a perosn to walk after surgery you first measure what…
the bp and pulse rate
if a person is NPO after surgery, important personal hygiene is what….
frequent oral hygiene
it’s important to report the time and amount of first void after the surgery b/c the person must void
w/in 8hrs after surgery
AE
anti-embolism/embolic
CBC
complete blood count
ECG/EKG
electrocardiogram
ID
identification
IV
intravenous
NG
naso-gastric
NPO
nothing by mouth
PACU
post anesthesia care unit
SCD
sequential compression device
TED
thrombo-embolic disease
why are baths given preoperatively
reduce # of microbes, reduce risk of wound infection
special soap/cleanser, may be used
when delegated to do a skin prep whats reported and recorded
area prepped
cuts,nicks,scratches,bleeding,sites of non-intact skin
after pre op drugs are given what is the person allowed to do
THE PERSON ISNT ALLOWED TO GET OUT OF BED AFTER PRE OP DRUGS ARE GIVEN
when a person returns, how often are their vitals checked
- every 15 min, till stables
- every 30. min for 1-2hrs
- every hour for 4 hrs
- every 4 hours
what post op operations should be reported and recorded
increase/decrese in body temp pulse higher than 100 or lower than 60 weak.irregular pulse respirations: shallow,slow,rapid,gasping,dyspnea, SOB,
how many times are exercises done
5
ambulation prevents..
thrombi pneumonia atcelectasis constipation UTI
WHATS THE VITAL SIGN FREQUENCY
Q 15min (x4)
Q30min (x1/x2)
Q 1h (x 4h)
Q 4hrs
what are your vital signs
BP Rx Pulse Temp (Pain is considered the 5th vital sign)
