Module 1 part 2: Perioperative and Intraoperative Nursing Care Flashcards
What are the peroperative phases and what happens during these phases?
Pre-perioperative: Decision for surgery –> OR doors/table
Intra-operative: OR –> PACU doors
Post-operative: PACU –> PCU –> follow-up evaluation
PACU: Post Anesthesia Care Unity (recoery room)
When do you start discharge teaching?
- right away prior to surgery
- Go over discharge teaching many times
What are the different kinds of Sx?
- Diagnostic - biopsy
- Curative
- Elective
- Palliative - life prolonging, alleviate symptoms
- Reconstructuve/cosmetic
Gerontological considerations for Sx?
- slow metabolism
- poor circulation - keep warm!
- Longer recoery time
- Less physiological reserve
- Less sensory fxn - fall risk, risk for delirium post op, risk for vulnerability and misunderstanding
Gerontological considerations for Sx?
- slow metabolism
- poor circulation - keep warm!
- Longer recoery time
- Less physiological reserve
- Less sensory fxn - fall risk, risk for delirium post op, risk for vulnerability and misunderstanding
Obese pt considerations for Sx?
More susceptible to infection – risk for resp. Infection
What are some special considerations for surgery
- Gerontological
- Obesity
- Disabililties
- System Considerations
- Nutrients involved in healing
- What is in their stomach
Why would a pt be NPO prior to surgery?
Gastric secretions can cause aspiration and increases risk of pneumonia
What are some supportive measures for Sx?
- Safety measures
- pschoogical, spiritual, and cultural beliefs
- Family needs
- Teaching
How can a nurse reduce perioperative anxiety in pediatric pts?
- play
- coping strategies
- Parental support
- Reducing Anxiety - teddy bear, familiar language appropriate for age, familiarity with surroundings and ppl
What are the perioperative nursing considerations for each stage of development?
Toddler: Autonomy, sensorimotor, participation
Preschooler: increased language skills, the role of choice
School-age: Language, knowledge acquisition, control
Adolescent: Reasoing, appearance, independence
Considerations for medication history
Abx, steroids , anticoags, antiHTN, insulin, diuretics, NSAIDs, herbal remedies
Consideration for pt on steroids going into Sx:
decreases immune fxn
Consideration for pt on antiHTN going into Sx:
anesthetics also lower BP
Consideration for pt on insulin going into Sx:
risk for hyper/hypoglycemia bc NPO