part 4 Flashcards
1
Q
What are some common preop medications?
A
- sedatives: anxiety
- anticholinergics: decreases secretions and prevent laryngospasm
- narcotic analgesics: facilitate sedation and lower amount of anesthetic needed
- neuroleptanalgesia agents: cause calmness
- histamine-2 receptor blockers: decreases gastric acidity
- antibiotics
2
Q
When should pt teaching about pain management take place?
A
preop phase
should start day one of surgery plans
3
Q
What are the 3 steps of the TJC protocol to prevent wrong site, wrong procedure, and wrong person surgery?
A
- preop patient ID verification process
- marking the operative site
- final verification called a time-out. Everyone involved with the surgery participates.
4
Q
What is the A of the ABC’s of the postoperative assessment?
A
A = airway:
- patency
- artificial airway
5
Q
What is the B of the ABC’s of the postoperative assessment?
A
B = breathing
- RR and quality
- breath sounds
- supplemental O2
- pulse ox and capnography
6
Q
What is the C of the ABC’s of the postoperative assessment?
A
C = circulation
- ECG monitoring
- vital signs
- peripheral pulses
- capillary refil
- skin color and temp
7
Q
What is a neurologic/psychologic postoperative complications?
A
- POCD: postoperative cognitive dysfunction
- Delirium: first suspect hypoxia, and depression may accompany
8
Q
How often should vitals be taken postoperative?
A
- first hour: q15min
- next 2 hours: q30min
- next 4 hours: q1hr
- after that q4hours
