EXAM 2--perioperative Flashcards
Period of time that constitutes the surgical experience. Includes 3 phases
perioperative nursing
the period of time from the decision for surgery until the patient is transferred into the operating room.
preoperative phase
the period of time from when the patient is transferred to the operating room to the admission to post anesthesia care unit (PACU)
intraoperative
The period of time that begins with the admission to the PACU and ends with the follow-up evaluation in the clinical setting or at home.
postoperative
used as a baseline to compare data
previous surgeries, respiratory problems, vital signs, breathing problems
physical assessment.
medications including OTCs and herbals
health history
smoking drinking, drug use
lifestyle
need to make sure who is going to take care of them post surgery when they are at home.
coping patterns and support systems
CBC- red blood cells, white blood cells, hematocrit, hemoglobin, etc.
Profile panels- glucose, potassium, sodium, etc.
Chest x-ray- especially for older clients
EKG
pre-surgical screening
pre-operative teaching
deep breathing & coughing exercises
turning exercises
extremity exercises
ambulation
teaching considerations for the elderly
Teaching considerations for the elderly
hard of hearing
dentures & hearing aids
vision isn’t as good
you should teach to the patient—not to the person at bedside with them.
stops coughing, sneezing, choking, so when they get out of surgery, your patient must cough and deep breathe to prevent mucous build up. Especially COPD and asthma patients.
general anesthesia
when intubating a patient remember to…
set up suction for stomach contents
goals for surgical patient
Patient safety is primary concern
Be physically and emotionally prepared for surgery.
Demonstrate turning, coughing, and deep breathing exercises
Verbalize understanding of postoperative pain management
Maintain fluid intake and nutritional balance to meet needs
what does patient wear to surgery?
gown, caps, & socks
Elements of Informed Consent
Description of the procedures, with potential alternative therapies.
The underlying disease process and its natural course
Name and qualifications of person performing the procedure
Explanation of risks involved
Explanation that patient has the right to refuse treatment
whose job is to perform informed consent
the doctor
do not get patient up after what?
giving narcotics
says its time to position the client. moves from stretcher to OR table.
anesthesia care provider
could cause burns or shock in OR
jewlery
remains sterile & hands instruments
scrub nurse
not sterile. gets more supplies
Circulating nurses
the first scalpel they use to make the incision is _____ after they make the first incision
not sterile
can make old people go crazy
phenagrin
