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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.

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1
Q

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

A

To decrease gastric acidity and volume.

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2
Q

Anesthetic agent

A

The substance used to induce anesthesia, gas or chemical

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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.

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4
Q

P1

A

Completely healthy. No problems

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5
Q

P2

A

Health condition well maintained (one health problem)

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6
Q

P3

A

Health condition not as well maintain (2 health problems)

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7
Q

P4

A

Health with multiply problems

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8
Q

P5

A

At end of life emergency

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9
Q

P6

A

Dead, brain dead for organ donations

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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.

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11
Q

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

A

Name, DOB, and/or medical record number.

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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.
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13
Q

Local anesthesia

A

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

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14
Q

Regional anesthesia

A

Just block a specific area

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15
Q

Regional anesthesia

A

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

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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.

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17
Q

Spinal anesthesia

A

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

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18
Q

General anesthesia

A

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

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19
Q

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

A

Preoperative phase

Expected outcomes.

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20
Q

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

A

Plan of care
Preoperative phase
Expected outcomes

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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.

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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.

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23
Q

Unrestricted zone

A

Street clothes are allowed.

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24
Q

Semi restricted zone

A

Scrub attire and cap are required.

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25
Q

Restricted zone

A

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

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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

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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

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28
Q

Circulator

A

RN who coordinates and documents patient care in the OR

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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.

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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,

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31
Q

Circulatory role

A

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

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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,

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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.
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34
Q

Surgical asepsis

A

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

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35
Q

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

A

The preoperative holding area.

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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.

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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.

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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)

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