intra op Flashcards

1
Q

what is intra op?

A

during surgery

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2
Q

for safety, what is it called when everything stops immediately before surgery to prevent mistakes?

A

TIME OUT

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3
Q

what is the goal of a surgical environment?

A

to prevent infection

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4
Q

what is considered unsterile?

A

wet surfaces, when in doubt its unsterile

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5
Q

to prevent injury to the pt what should the nurse do?

A

every couple hours reposition the pt to relieve pressure, so skin breakdown doesn’t occur

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6
Q

when anesthesia covers the entire body its called?

A

GENERAL

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7
Q

when anesthesia treats only the location of the pain its called?

A

localized

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8
Q

when anesthesia covers the affected limbs

A

epidural/ nerve block

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9
Q

as a nurse when would you turn the head of a pt and suction as needed

A

when the pt feels nausea and vomiting

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10
Q

as a nurse why would you check peripheral perfusion and pulse oximetry?

A

hypoxia can occur, due to endotracheal tube not deep enough or wrong size

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11
Q

what is the most severe form of an allergic reaction?

A

anaphylactic

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12
Q

what med would you use for a pt have a anaphylactic reaction?

A

epinephrine

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13
Q

a pt is having swelling of the conjunctiva, runny nose, swelling of the lips, tongue, and throat, Low BP, shortness of breath, stridor, what can be wrong with this pt?

A

s/s of anaphylaxis

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14
Q

what condition can be triggered by some types of general anesthetic agent, and is a rare hereditary muscular disease?

A

malignant hyperthermia

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15
Q

pt is having muscle rigidity, tachycardia, tachypnea, hypertension, dysrhythmia, cyanosis after receiving general anesthesia what can this be s/s of?

A

malignant hyperthermia

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16
Q

how do we treat malignant hyperthermia?

A

the surgery is stopped
anesthesia is discontinued
oxygen is given 100% because of the pt increased RR and HR
foley catheter to monitor intake and output
Dantolene sodium (will relieve the muscle spasm)

17
Q

dantrolene is used for what?

A

used to treat malignant hyperthermia, can also be use to treat muscle spasticity associated with spinal cord injuries, stroke, CP. and MS

18
Q

adverse reactions of dantrolene?

A

drowsiness, muscle weakness, hepatoxicity, diarrhea, flushing, anaphylaxis

19
Q

as a nurse what would you assess after administering dantrolene

A

assess for bowel function and BS periodically
assess previous anesthesia history of all surgical pt
assess for family hx of reactions to anesthesia
monitor ECG, VS, electrolytes, and urine output
monitor LFT test

20
Q

when a nurse administers dantrolene IV what should the nurse assess for

A

medication is very irritating to tissues, observe infusion site frequently to avoid extravasation