Endoscopic Flashcards
Endoscopic Light Source
• Do not turn on the light source until the light cable is ________ .
• When not in use, the light source should be placed in __________ .
connected to the telescope
“standby” mode
In a laparoscopic operation, the abdominal cavity is insufflated with CO2 to establish a______.
Precautions include:
• Always have a back-up tank of CO2 available
• The insufflator should be positioned on the cart at the level of _________ .
• Most insufflators have alarms and displays to show actual CO2 pressure and CO2 supply levels. Make sure the alarm is on, is audible, and working correctly.
• Maintaining intra-abdominal pressure under ________ in adult patients reduces the risk of systemic hemodynamic changes.
pneumoperitoneum
the patient’s heart or higher to prevent intra-abdominal fluids or gases from contaminating the device
12 mm/Hg
The scrub person should devote ______ time to inspecting laparoscopic instruments than inspecting instruments used in open procedures, because the problems they present may not be apparent upon casual observation.
Special attention should be focused on the condition of the _________.
more
insulation
Electrical current will escape through any break in the insulation, and thermal burns can result from these breaks.
Cleaning Endoscopic Instruments
• Clean off external debris during the case with a _________ .
• Flush the channels with ___________ to remove gross soil during surgery.
• Test scissors for sharpness prior to __________ .
moistened sponge
sterile water—
starting the surgery
The circulating nurse should focus on some special considerations for the patient undergoing endoscopic or MIS.
- Previous incisions that may alter the trocar insertion technique
- History of deep vein thrombosis (DVT)
- Consent to include the possibility of an open procedure:
- Voiding prior to surgery:
Monitoring overload of IV and irrigation fluids to avoid ______________ .
hyponatremia and hypervolemia
