mod 1 perioop case study Flashcards
Although recent guidelines state that not all patients need to be NPO after midnight, and some may have clear liquids up to two hours prior to surgery is the ____ for being NPO after midnight
rationale
at risk of aspiration due to her history of diabetes (possible gastroparesis) and should be NPO for 8 hours is the ____ for being NPO after midnight
rationale
what to expect during the surgical experience & instruction on deep breathing is ___ teaching
preop
use of the incentive spirometer & coughing is preop ____
teaching
exercises (ankle pumps and ankle circles) and moving postoperatively & pain assessment and pain control is preop ____
teaching
The physician must provide adequate disclosure of the diagnosis, including the nature and ___ of the proposed treatment
purpose
risks and consequences of the proposed treatment must be told to __
pt
probability of a successful outcome; the availability, benefits, and risks of alternative treatments must be told to ___
pt
the prognosis if treatment is not instituted must be told to __
pt
need to assess that the patient has an understanding and comprehension of the information that was provided and that consent is being given ____
voluntarily
age & current state of immobility are risks for _____
surgery
DM and thrombophlebitis are risks for ___
surgery
pulmonary problems & delayed wound healing are risks for ___
surgery
infection, and surgical complications are risks for ___
surgery
anti-platelet like clopidogrel put you at ___
risk
anticoagulant like enoxaparin put you at __
risk
blood glucose is elevated, she is at a higher risk for developing acidosis during ___
surgery
short-acting (regular) insulin will be administered to resolve her hyperglycemia prior to surgery bc of ___ glucose level
increased
increased WBC can indicate __
infection
preoperative antibiotic is administered within one __ of the surgical incision.
hour
start the intravenous fluids and perform on-call actions & obtain the type and crossmatch of blood bf ___
surgery
Phlebitis & deep vein thrombosis can be a __ comp
postop
dehydration & acute pain are postop __
comp
dtelectasis & pneumonia are __ comp
postop
wound infection & F/EI are postop __
comp