Intraop #1 Flashcards
what is open surgery
surgeon cut skin and tissue to have full view of organs and structures
ex/open heart surgery
what is minimally invasive surgery
no need for large incision
ex/laproscopy, arthroscopy, cystoscopy, colonscopy
can be done robotically
benefit of minimally invasive surgery
heal faster with less pain
sterile team
surgeon, surgical assistant, surgical tech, PA, RN first assistant
nonsterile team
circulating nurse, asesthesiologist/CRNA, assistive personel
what is basic aseptic technique
prevent infection through reaction of and maintenance of sterile field
what does pt positioning do
provide musculoskeletal alignment
prevent pressure
provide for adequate thoracic excursion
prevent occulsion of arteries and veins
provide modesty and exposure
supine
laying flat on back
prone
facedown with head to side
lateral
on side
ex/renal or thoracic surgery
lithotomy
vaginal surgery
what should the SBAR include
what is going on with pt, what is procedure
nurse role for surgical care
prophylatic antibiotic
warm blanket to prevent hypothermia
pneumatic compression devices, SCDs,
what is a surgical time out
b/f skin incision, verify correct pt, surgeon, placement and procedure
what is monitored anesthesia care
for diagnostic/therautic procedures
decreases pt response
pt can hear you b/c not fully unconscious
what is general anesthesia
IV agent
makes pt asleep
hypnotic, dissociative agent or anxiolytic
what are inhaled agents
cornerstone of general anesthesia
via endotrachial tube or mask
adjuncts to anesthesia
antiemetics
benzodiazepines
neuromuscular blocking agents
opioids
what is local anesthesia
loss of sensation, w/o loss of consciousness
interrupts generation of nerve impulses by altering flow of sodium into cells
types of local anesthetic
topical, opthalmic, nebulized, injectable
what do you need to watch for with local anesthetics
allergic reactions
what is spinal anesthesia
injection of local anesthesia into CSF subarachnoid space under L2
autonomic, sensory and motor block
side effects of spinal anesthesia
vasodilation, hypotension, bradycardia, n/v
how to prevent headache with spinal anesthesia
HOB is flat
how long does spinal anesthesia last
several hours
what is an epidural block
injection of local anestheia into epidural space, more superficial than spinal anesthesia, doesn’t enter CSF
opioid used as adjunct
conscious pt
