HESI Review Flashcards
What is done for pre-op anxiety?
The patient is given xanax
What causes shoulder pain in post op and how can shoulder pain be prevented?
Caused by air in the cavity and it is prevented by ambulation
What is the main reason for early ambulation after surgery?
To prevent DVT’s
How long does it take an infection to appear post op?
2-3 days
What is normal range for WBCs?
5-10 mm cubed
How far away does a sterile specimen need to be from the sterile field?
At least one inch
What do you do to a post-op wound if yellow pus is present?
Cover it with sterile see through tape to observe
Describe pouring fluid during surgery.
Lipping when transferring
Use sterile technique
Do not splash
Keep container sterile
What is dantrolene (Dranton) used for?
Prophylactic for patients with a history of operative hypothermia. It is given in pre op.
Besides dantrole (Dantron) what other non pharmacologic measure can be taken for patients who have operative hypothermia?
Warming blankets or other warming devices.
What is the first sign of hemorrhage/ bleeding?
Tachycardia
How are patients with laminectomy/ back/ neck surgery moved?
With log rolling
What must be assessed for a patient who is suspected of fluid volume deficit?
Orthostatic hypotension and dizziness when the patient is upright. Also assess for s/s of dehydration.
What is assessed for a patient under general anesthesia?
ABC’s
What are s/s of hypervolemia (fluid volume excess)
Confusion Pitting edema Weak, thread pulse Hypertension Oliguria ( < 30 mL/hr)
