Peri-Op Flashcards
-ectomy
removal of
-oscopy
looking into
-ostomy
creating an opening
-otomy
cutting into
-plasty
repair/reconstruction
what’s some preoperative nursing assessment
reason for surgery, age, allergies, past medical HX, vital sign baseline, nutritional status, presence of infections, medications, drug/ETOH
what’s some preoperative teaching
fear/anxiety
normal, can impair cognition, decision making
information can lessen anxiety and empower the pt
what are some requirements prior to surgery
Hx and physical exam, RN assessment, PT voided, appropriate diagnostic studies completed, consents are signed, surgical site identification, PT identification
what are the 3 informed consent conditions
adequate disclosure, understanding and comprehension, voluntarily given
who’s responsible for obtaining consent
SURGEON, but nurses may be witness if the nurse was there when conversion was had
what are some day of surgery preparations
hospital gown, identification and allergy band, remove jewelry, dentures, contacts, prostheses removed
void before surgery
what are some gerontologic considerations
surgery may be overwhelming, increased risk r/t anesthesia, where are they coming from and going to, risk of complications
what’s surgical time out
with the full team present, verify pt identity, site, and procedure to be done
what’s moderate sedation
does not require ACP, may be admin by an RN under direct supervision of a physician, PT can protect their own airway
what’s regional anesthesia
nerve blocks or spinal/epidural anesthesia
what’s local anesthesia
sensory blockade to a specific area, given topically or via infiltration, no effect on the CNS
what’s malignant hyperthermia
rare metabolic disorder, fast rise in body temp and severe muscle contractions, occurs most often with succs
constipation/paralytic ileus (caused, treatment)
caused by anesthesia, PN meds, surgical manipulation of bowel
treatment is constipation w/o ambulation, fluids, fiver, stool softeners, laxative
If we think it is, we may make PT NPO and NG to suction
what should be the least amount of urine production
normal urine production should be at least 0.5 mL/kg/hr
for how long a PT who can’t void should we do a cath
within 8hr of surgery
what’s post operative delirium
short-term neurological alteration that may include restlessness, agitation, confusion
watch O2 levels, Pn management, safety
what are some surgical discharge criteria
must be mobile and alert, cannot drive, no IV opioids in the past 30mins, minimal N/V, voided if appropriate to surgical procedure, written discharge instructions given and understood
