Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

From Flashcardlet first semester > Exam 7 Intra - Op Care > Flashcards

Exam 7 Intra - Op Care Flashcards

0
Q

Neuroleptanalgesic agent such as; fentanyl citratedroperidol (Innovar) is use for?

A

To cause a general state of calmness and sleepiness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Histamine - 2 receptor blockers such as; cimetidine( Tagament) and ranitidine (Zantac) are used for?

A

To decrease gastric acidity and volume.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Anesthetic agent

A

The substance used to induce anesthesia, gas or chemical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Epidural anesthesia

A

Injecting an anesthetic agent into epidural space of the spinal cord causing a lost of feeling and control of lower body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

P1

A

Completely healthy. No problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

P2

A

Health condition well maintained (one health problem)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

P3

A

Health condition not as well maintain (2 health problems)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

P4

A

Health with multiply problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

P5

A

At end of life emergency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

P6

A

Dead, brain dead for organ donations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sedatives such as: diazepam (Valium), midazolam (Versed) or lorazepam (Ativan) are used for?

A

To alleviate anxiety and decrease recall of events related to the surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In the OR patient is identified again with the OR team using two identifiers.

A

Name, DOB, and/or medical record number.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Time Out

A 
In OR everyone stops.
Patient is identified with 2 identifiers,
The correct procedure is identified,
The correct site is verified,
Everyone has to agree.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Local anesthesia

A

Injection of a solution containing the anesthetic into the tissue at the planned injection site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Regional anesthesia

A

Just block a specific area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Regional anesthesia

A

Anesthetic injected around nerves to deaden area supplied by these nerves. (Nerve block)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Moderate sedation or conscious sedation

A

Patient is in depressed level of consciousness but able to maintain airway and respond to commands, usually monitored by RN.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Spinal anesthesia

A

A local anesthetic agent is introduced into the subarachnoid space of spinal cord.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

General anesthesia

A

Lost of reflexes, total relaxation, and analgesia produced by pharmacologic agents.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Evaluating the plan of care for the ______________________ is based on the _________________________.

A

Preoperative phase

Expected outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Evaluating the ____________________ for the _____________________ is based on the __________________________.

A

Plan of care
Preoperative phase
Expected outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Malignant hyperthermia

A

Rare inherited muscle disorder that is chemically induced by anesthetic agents.
Signs of hyperthermia are rigid muscles, tachycardia, and a sudden spike in temperature.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The three zones for surgery are to help decrease microbes in the surgical suite.

A

Unrestricted, semirestricted, restricted zones.

Only approved personnel are allowed in the semirestricted and restricted areas.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Unrestricted zone

A

Street clothes are allowed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Semi restricted zone

A

Scrub attire and cap are required.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Restricted zone

A

Scrub attire and surgical mask, shoe covers and hat a required.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The _______________________ of surgery begins with ________________of the patient to surgical area and lasts until the patient is transferred to _________________.

A

Intraoperative phase
Admission
PACU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The universal protocol has 3 components:

A

Preoperative verification process
Marking the operative site
Final verification just prior to beginning of a procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Circulator

A

RN who coordinates and documents patient care in the OR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Circulator’s role

A

Measure blood loss and fluid loss. Record label and send tissue samples, keep family informed, count sponges, needles and instruments with scrub tech, accompany to PACU, notify family.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Circulators role

A

Positions the patient and protects them from positional harm, provide modesty and comfort, prep the skin, insert foley, monitor draping, complete OR record,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Circulatory role

A

Assist with applying monitors, protects the patient during induction of anesthesia,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Circulatory role

A

Has to be RN, helps set up OR, monitors sterility, ID patient, check chart, admits client to OR, transfer from stretcher to OR table,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Preoperative verification in holding area

A 
Identify patient (name, DOB, surgical procedure, and site).
Assess client (pain level, BP, pulse, O2 stat, listen to lungs)
Check chart.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Surgical asepsis

A

Absence of microorganism in the surgical environment to reduce the risk of infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

The first room the patient enters when arriving in the surgical area is?

A

The preoperative holding area.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Check patient chart for:

A

H&P, UA, CBC, Electrolytes, CXD, Dx test, surgical consent signed, Ht & W, VS, allergies, NPO p midnight,
Medications, medical conditions.
No dentures, no contact lenses, no underwear.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Surgical tech

A

Assist with preparation of OR, scrubs, gown and gloves self and the surgeon, prepares instruments table, assist with draping, pass instruments, counts instruments, needles and sponges with circulator.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Perioperative nurse has ________________________ and roles in __________________ meeting _____________ needs.

A

Critical responsibilities
Collaboratively
Patient

39
Q

Surgeon has a?

A

Dominant role

40
Q

anesthesiologist:

A

physician trained to deliver anesthesia and to monitor the patient’s condition during surgery

41
Q

anesthesia:

A

state of narcosis, analgesia, relaxation, and loss of reflexes

42
Q

Sterile

A

Waist to shoulder, gloves to 2 inches above the elbows.

43
Q

Nursing process uses the _______________ ___________ and ____________ as a basis for the ________________ ___________of care.

A

Preoperative data
Plan
Intraoperative plan

44
Q

Monitored anesthesia care

A

Moderate sedation by an anesthetist.

45
Q

Scrub person

A

Must stay in room after attired

46
Q

What is SCD’S, what are they used for and what part of the body are they put on?

A

Sequential Compression Device.
To prevent deep vein thrombosis
Put on the calfs of the legs.

47
Q

In the OR patient is identified again with the OR team using two identifiers.

A

Name, DOB, and/or medical record number.

48
Q

Narcotic analgesics such as; morphine and meperidine hydrochloride (Demerol) to help?

A

Facilitates patient sedation and relaxation and to decrease the amount of anesthetic agent needed.

49
Q

Moderate sedation or conscious sedation

A

Patient is in depressed level of consciousness but able to maintain airway and respond to commands, usually monitored by RN.

50
Q

Check patient chart for:

A

H&P, UA, CBC, Electrolytes, CXD, Dx test, surgical consent signed, Ht & W, VS, allergies, NPO p midnight,
Medications, medical conditions.
No dentures, no contact lenses, no underwear.

51
Q

Anesthetist

A

Person trained to deliver anesthesia and to monitor patient during surgery. Usually CRNA.

52
Q

The _______________________ of surgery begins with ________________of the patient to surgical area and lasts until the patient is transferred to _________________.

A

Intraoperative phase
Admission
PACU

53
Q

Evaluating the ____________________ for the _____________________ is based on the __________________________.

A

Plan of care
Preoperative phase
Expected outcomes

54
Q

Restricted zone

A

Scrub attire and surgical mask, shoe covers and hat a required.

55
Q

The universal protocol has 3 components:

A

Preoperative verification process
Marking the operative site
Final verification just prior to beginning of a procedure

56
Q

Epidural anesthesia

A

Injecting an anesthetic agent into epidural space of the spinal cord causing a lost of feeling and control of lower body.

57
Q

Sterile

A

Waist to shoulder, gloves to 2 inches above the elbows.

58
Q

Malignant hyperthermia

A

Rare inherited muscle disorder that is chemically induced by anesthetic agents.
Signs of hyperthermia are rigid muscles, tachycardia, and a sudden spike in temperature.

59
Q

Neuroleptanalgesic agent such as; fentanyl citratedroperidol (Innovar) is use for?

A

To cause a general state of calmness and sleepiness.

60
Q

Time Out

A 
In OR everyone stops.
Patient is identified with 2 identifiers,
The correct procedure is identified,
The correct site is verified,
Everyone has to agree.
61
Q

The first room the patient enters when arriving in the surgical area is?

A

The preoperative holding area.

62
Q

Evaluating the plan of care for the ______________________ is based on the _________________________.

A

Preoperative phase

Expected outcomes.

63
Q

The three zones for surgery are to help decrease microbes in the surgical suite.

A

Unrestricted, semirestricted, restricted zones.

Only approved personnel are allowed in the semirestricted and restricted areas.

64
Q

Perioperative nurse has ________________________ and roles in __________________ meeting _____________ needs.

A

Critical responsibilities
Collaboratively
Patient

65
Q

Sedatives such as: diazepam (Valium), midazolam (Versed) or lorazepam (Ativan) are used for?

A

To alleviate anxiety and decrease recall of events related to the surgery.

66
Q

What is SCD’S, what are they used for and what part of the body are they put on?

A

Sequential Compression Device.
To prevent deep vein thrombosis
Put on the calfs of the legs.

67
Q

anesthesiologist:

A

physician trained to deliver anesthesia and to monitor the patient’s condition during surgery

68
Q

Regional anesthesia

A

Just block a specific area

69
Q

Scrub person

A

Must stay in room after attired

70
Q

Monitored anesthesia care

A

Moderate sedation by an anesthetist.

71
Q

Preoperative verification in holding area

A 
Identify patient (name, DOB, surgical procedure, and site).
Assess client (pain level, BP, pulse, O2 stat, listen to lungs)
Check chart.
72
Q

Local anesthesia

A

Injection of a solution containing the anesthetic into the tissue at the planned injection site

73
Q

Surgeon has a?

A

Dominant role

74
Q

Spinal anesthesia

A

A local anesthetic agent is introduced into the subarachnoid space of spinal cord.

75
Q

Nursing process uses the _______________ ___________ and ____________ as a basis for the ________________ ___________of care.

A

Preoperative data
Plan
Intraoperative plan

76
Q

Surgical asepsis

A

Absence of microorganism in the surgical environment to reduce the risk of infection.

77
Q

Surgical tech

A

Assist with preparation of OR, scrubs, gown and gloves self and the surgeon, prepares instruments table, assist with draping, pass instruments, counts instruments, needles and sponges with circulator.

78
Q

anesthesia:

A

state of narcosis, analgesia, relaxation, and loss of reflexes

79
Q

Regional anesthesia

A

Anesthetic injected around nerves to deaden area supplied by these nerves. (Nerve block)

80
Q

Circulating Nurse

A

RN Assist w/ devices
Helps set up OR Position pt
Monitor sterility Prep skin
ID client Insert foley
Admit to surgery Monitor draping
Transfer Complete OR record
Provide warmth Measure blood loss
Record/label/send tissue samples
Count Accompany to PACU

81
Q

Classification of Anesthesia

A

Stage 1-warm/fuzzy & ringing in ears
Stage 2-inc heart rate, irregular resp, excitement
Stage 3-Surgical anestesia-unconscious
Stage 4-Medullary depression-hard to recover

82
Q

Malignant hyperthermia

A

Inc heart rate and temperature

83
Q

PPE in Restricted Area

A

Mask
Hair Covering
Shoe covering

84
Q

Basic Guideline for maintaining surgical asepsis

A

Sterile surface or articles may touch other sterile only

85
Q

Potential complications

A

N/v Anaphylaxis Hypoxia Hypothermia
Malignant hyperthermia
Disseminated Intravascular Coagulation

86
Q

Holding area

A 
ID client
Assessment
No dentures/contacts/underwear
NPO p midnight
Consent
87
Q

Draping

A

Held above surface & position from front to back
Only top of table or client is consider sterile
Hanging over edge unsterile
Tear/Puncter is unsterile

88
Q

Guidelines for Maintaining Surgical Asepsis

A

Sterile to Sterile
Unscrubbed personnel remain at safe distance
Scrub person must in room after attire
Sterile from waist up

89
Q

Anesthesiology physical classification

A 
P1-No medical problems
P2-Well controlled medical problems
P3-More than one problem & one not controlled
P4-Nothing controlled
P5-Harvesting organs
90
Q

General Anesthesia

A

Depresses CNS
Slow GI motility
Loss of consciousness
Loss of muscle tone

91
Q

Supplies & Solutions

A

Wrapped and Sealed
Pour solutions into sterile w/out splashing
Solution-saline
Do not use warm solution

92
Q

Traditional OR

A

Unique
Unrestricted
Semi restricted
Restricted

93
Q

Surgical team

A 
Assist w/ prep      Doesn't have to be RN
Must be trained    
Scrub/Gown/Glove self & others
Prep instrument tables
Assist w/ draping    Pass instruments
Count sponges, needles
94
Q

OR Safety

A

Lighting
Intercom
Laser

From Flashcardlet first semester (43 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions