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Med > PERI OP (Part 2) > Flashcards

PERI OP (Part 2) Flashcards

1
Q

from OR acceptance to PACU

A

INTRA OP

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2
Q
  • allowed all
  • door of OR
  • dressing area
  • street clothes
A

unrestricted area

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3
Q
  • hallway
  • lobby
  • scrubbing area
  • PACU/ER
  • PPE
  • recovery room
A

semi restricted area

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4
Q

ppe for semi restricted area

A

cap, mask, scrubs, shoes

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5
Q
  • PPE
  • OR gowns and gloves
A

restricted area

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6
Q

S + S =
US + S =
C + S =
C + C =

A

S + S = S
US + S = US
C + S = US
C + C = C

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7
Q

a. gown

front -
waist below -
shoulder -
back -
stockinette -

A

a. gown

front - S
waist below - US
shoulder - US
back - US
stockinette - S

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8
Q

b. gloves

outside -
inside -
puncture -
radioactive -
manufacturing material -

A

b. gloves

outside - S
inside - US
puncture - double gloves
radioactive - lead gloves
manufacturing material - rubber

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9
Q

how mask should be worn?

A

crossed

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10
Q

moisture -
doubt -
surgical conscience -
instrument -

A

moisture - US
doubt - US
surgical conscience - honesty
instrument - autoclove

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11
Q

how would you know if the instrument in the autoclave are already sterile?

A

stripe of black

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12
Q
  • boss on OR, DR, triage
  • borrowed servants rule
  • captain of the ship rule
A

surgeon

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13
Q
  • intern, md, resident
  • retracts
A

assistant surgeon

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14
Q
  • monitor v/s
  • contraptions
  • declares death of pt
A

anesthesiologist

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15
Q
  • count/check instruments
  • handover instruments
  • aftercare
  • gown and gloves surgeon and AS
A

scrub nurse

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16
Q
  • perform nursing process
  • documentation
  • countercheck instuments
A

circulating nurse

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17
Q

if rn is in ward

A

respondent superior

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18
Q

initial count

A
  • manufacturer count
  • content of package
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19
Q

base count

A

during preperation

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20
Q

final count

A

before fascia closure
before skin closure

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21
Q

counting of ins. inside the pt

A

field count

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22
Q

field count

check by:
counter check by:

A

check by: surgeon
counter check by: scrub nurse

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23
Q

table count

check by:
counter check by:

A

check by: scrub nurse
counter check by: circu nurse

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24
Q

floor count

check by:
counter check by:

A

check by: circu nurse
counter check by: scrub nurse

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25
Q
  • used on skin
  • dirty ins.
A

non critical

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26
Q

used in blood vessels

A

semi critical

27
Q

used in internal organs

28
Q

anesthesia

A
  • loss of consciousness
  • eyelid reflex
  • sensation
29
Q

route of general anesthesia

A

inhalation, iv

30
Q

ex. of general anesthesia

A

nitrous oxide (laughing gas)

31
Q

side effect of nitrous gas

32
Q

color of tank of nitrous oxide

33
Q

insertion of spinal anesthesia

A

subarachnoid space

34
Q

position in spinal anesthesia

A
  • c shaped
  • fetal position
  • shrimp position
35
Q

location of spinal anes

A

L3-L4
L4-L5

36
Q

scope of spinal anes

A

xyphoid to feet

37
Q

scope of epidural anes

A

umbilicus to feet

38
Q

scope of caudal anes

A

buttocks to feet

39
Q

ex. of local anes

40
Q

onset/ beginning/ introduction of anesthesia

41
Q

dec. of eyelid reflex

42
Q

actual operation
loss of sensation
loss of consciousness

A

anesthesia

43
Q

overdose of anesthesia

A

medullary response

44
Q

from PACU to follow up care

45
Q

pulse pressure

A

blood pressure

46
Q

normal mmhg

47
Q

<30mmhg

A

narrowed > shocked

48
Q

> 40mmhg

A

widened > inc. ICP

49
Q

normal pulse rate

A

0 (ap - pp)

50
Q

inc. temp

51
Q

dec. of temp

A

malignant hypothermia (overdose of anesthesia)

52
Q

inc. of RR

A

hypermetabolic state

53
Q

dec. of RR

A

drug induced bradypnea

54
Q

counterpart of apgar scoring

A

aldrette score

55
Q

who check aldrette score

56
Q

tear of wound

A

dehiscence

57
Q

popping out

A

evisceration

58
Q

dec. peritalsis

A

constipation

59
Q

no bowel sounds, no borborygni

A

paralytic ileus

60
Q

normal borborygni sounds

A

5 to 30 mins per quadrant

61
Q

prevention of DVT

A

early ambulation

62
Q

4 POST OP

A
  • vital sign monitoring
  • glasgow coma scale
  • aldrette score
  • complications
63
Q

5 INRTA OP

A
  • zones of or
  • principles of or
  • mem. of or
  • instrumentation
  • anesthesia

Med (40 decks)

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