LP 9-12 Flashcards
prehypertension adult
120/80-139/89
children over 7 pulse
80-90
causes of decrease in body temperature
depressed state, exposed to cold
when is PACU start?
1940’s
why must pain be controlled post op?
increase in HR and BP, stroke, hard to manage
homans sign
clot in deep veins of legs, DVT
4 routine studies in pre op prep
history and physical-interview and exam
blood counts-may reveal conditions that contraindicate surgery
operative permit-signed and witnessed
surgeons order-for hair removal
chemical skin prep
antiseptic solution used for disinfection of the skin
most serious cardiac dysrhythmia
V fib
decrease in body temp
warming reactions
goals of PACU
return pt back to a safe physiological level
orthopnea
breathing possible when sitting or standing
anatomy
normal anatomy
hypertension adult
140/90-159/99
active drain
suction
what is assessed when taking respirations?
rhythm, depth
bradycardia
below 60 beats, caused by meds, heart disease
mechanical
wounds prepped after the surrounding unbroken skin is cleansed and with a different sponge
cardiac arrest
heart stops beating
is catheterization sterile?
yes
post op observation of the patient
airway, BP, temp, HR, skin
passive drain
gravity
application
application of the principles of aseptic technique
what is the most common method of draining bladder?
urethral catheterization
blood vessels contract
decrease in vessel size, heat loss
rectal
99.6
decrease in BP
bleeding, vascular collaps
purpose of drains
oozing of blood, fluid, air
birth pulse
130-160
who first described postop care unit?
florence nightingale
adult respiration
12-20
operative procedure
the planned operative procedure
3 locations for temperature
oral, rectal, axillary
first line of defense
skin
duties performed by the ST before first incision
gown and glove
drape mayo
shaving
removal of hair
why is catheter inserted after induction?
prevent pain
what is a positive care approach designed for?
serve as memory tools for surgical problem solving
pneumothorax
accumulation of air or gas in the pleural cavity
CARE
reminder that all activities affect the care given to the patient
thrombus
stationary clot attached to wall of vessel
what is critical thinking?
method of organizing your thoughts that allows you to make appropriate decisions
adolescent BP
118-75
space below crease of elbow
brachial
apical assessment
greater accuracy, measured for 1 minute
embolus
travelling clot
environmental concern
general awareness and concern for patient care environment
increase in body temp
cooling reactions
pathology
related pathological condition
types of drains
rubber, plastic, nylon
a doctors order isn’t required to insert a foley catheter
false
top of foot
dorsalsis
hypothermia
below 97 degrees
critically ill patients may go directly to the ICU post op
true, they need one on one care
6 procedures that may be ordered by doctor done prior to surgery
ECG, blood chemistry, electroencephalogram, special xray, IV fluids, catheter insertion
adult pulse
60-80
duties performed by the ST from incision to end of surgery
pass instruments
maintain sterile field
count is correct
equipment in PACU
crash cart, defibrillator, meds, glucometer
role
individual role
what is the primary determinant of the procedure?
anatomy and pathology
what is urethral catheterization
flexible tube via urethra into bladder
arterial line
measures BP, used for critically ill patients, anesthesia gives to patient when they are asleep
malignant hyperthermia
increases 1-2 every 5 minutes
increase in BP
hypertensive crisis, stroke
complications of urinary catheterization
pain or death
post op complication
hemorrhage, respiratory issues, thrombus
what are vital signs?
measurements of the body’s most basic functions
5 steps for critical thinking
identify goal gather information generate response implement assess results
heart
apnex
what affects BP?
pain, bleeding, age, gender
systolic
pressure exerted against arterial walls when ventricles contract
increase in HR post op
pain, hemorrhage
a positive
conduct a review before each surgical procedure
pulse
left ventricle of the heart contracts
infant respiration
30-60
kussmauls
fast deep gasping in diabetic respiration
what might a rash indicate?
reaction to meds/anesthetic given
factors when taking pulse
rate, quality, rhythm
exhalation
force air from lungs back into environment
tips for catheterization
be aware of allergies
inflate 10cc for 5cc
secure tubing
gravity drainage
oral temp
98.6
pulmonary embolism
obstruction of a pulmonary artery, blood clot
convert F to C
subtract 32 from number, then multiple by 5/9
what does A POSitive stand for?
anatomy
pathology
operative procedure
specific variation
normal adult BP
less than 120/80
causes for increase in body temperature
infection, physical activity, stress
pulse behind knee
popliteal
hyperthermia
above 99 degrees
newborn BP
50/25-52/30
respiration
exchange of oxygen and carbon dioxide between atmosphere and cells
a positive care approach definition
developed to stimulate critical thinking abilities
what regulates temperature?
hypothalamus
local cases vital signs
2 nurses, one doing vitals and other circulator
inhalation
inhale fresh air into lungs
tympanic
usually same as oral
arteries under greatest pressure
systolic
thumb side of wrist
radial
indwelling catheter
foely
what causes breathing?
diaphragm and intercostal muscles
what is BP?
amount of pressure exerted against arterial walls when the heart contracts and relaxes
pre op prep for the patient on the day of surgery
NPO, dentures and jewelry removed, bladder emptied
children under 7 pulse
80-120
why do we monitor IV flow rates?
adjust with the increase or decrease of BP
advantage of shave
closer to the time of surgery
eupnea
normal respiratory rate
duties performed by ST before surgery
receive case cart
assemble items
orient furniture
open supplies
children respiration
18-30
caring attitude
care directed to patient and surgical team
two items ST shouldn’t doubt
instrumentation
normal operative steps of a procedure
straight catheter
Robinson red rubber catheter, coude tip
what does CARE stand for?
caring attitude
application
role
environmental concern
rales
rattling respiration
thrombophlebitis usually occurs in
superficial and deep veins
thrombophlebitis
inflammation of a vein
tachycardia
over 100 beats, caused by anemia, obesity
rhonchi
wheezing
what is a urethral cath. used for?
decompression of bladder, drainage of urine
critical thinking involves the application of knowledge and experience gained in the past to solve a current problem
true
what controls respiration?
medulla oblongata
ureteral catheter
cystoscope
diastolic
pressure exerted against the walls of arteries when heart is filling
what contributes to the development of an embolism?
stasis of blood
cheyne stokes
fast even breaths followed by periods of apnea
axillary
97.6
pyrexia
fever
when does post op care begin?
when the surgical procedure is concluded
advantage of electric thermometer
rechargable, no mercury
specific variation
any variation that may be necessary to accommodate this specific surgeon or patient
apnea
no breathing
dyspnea
shortness of breath
