Exam 7 Pre Op Flashcards
Barbiturates
sedation without cardiopulmonary depression
Pentobarbital (nembutal)
Phenobarbital (luminal)
Types of urgency
Elective
Urgent
Emergent
Type of Extent of Surgery required
Simple
Modified
Radical
Preop teaching
Determine learning level give correct info teach post op exercises have pt demo back include family if pt permits answer any questions
Purpose of Surgery
Ablative Diagnostic Palliative Reconstructive Cosmetic Transplant
H2 Receptor Antagonists
reduce gastric acidity
Tagamet (cimetidine)
zantac (ranitidine)
informed consent
legal duty of md
a brief complete explanation of procedure or treatment
has right to refuse at last min
knows risks & alternatives
Nursing planning
Pre op teaching plan
goals & outcomes
setting priorities
continuing care
Post-op bedside unit
Prep when leaves for surgery Surgical bed VS equipment Clean gown Emesis IV pole Suction/O2 Extra pillows/bed pads Wash cloth/towels/tissues
Degree of Risk
Minor
Major
Stages of Preop Phase
Admission Assessment Diagnostic procedures Pre op Ed Consent Physical prep Transport
Post op exercises
Diaphragmatic breathing spirometry controlled coughing Splinting turning leg exercises
Anxiolytics
control anxiety
Diazepam (valium)
Lorazepam (ativan)
pre op check list
Consent signed ID band No clothing/jewelry/dentures/hearing aid/wigs/nail polish/prosthetics Diagnostic Allergies NPO status/empty bladder/VS Valuables accounted for Appropriate signatures Mode of travel Pre op meds given
Neuroleptics
Sedation, antiemetic, & anticonvulsant
Neurotin (gabapentin)
Halopraridol (butyrophenones)
Surgical Settings
Inpatient
Outpatient
Hypnotics
Sedation and increase duration of sleep
Chloral hydrate (aquachloral)
zolpidem (ambien)