Periop Unit Flashcards
Blood can clot too slowly and puts client as risk for excessive bleeding…
Increased PT, INR, aPTT
What meds increase the risk of postop complications and why?
Anti hypertensives- interfere with CO
Tricyclics depressants - interfere with sensations
Anticoagulants- interfere with blood clotting risk for bleeding
NSAIDS- chronic use may interfere with bleeding time
Hypokalemia during surgery can cause….
Increased risk for toxicity if client is taking digoxin, slows recovery from anesthesia and increases cardiac irritability
Hyperkalemia during surgery can…
Increase the risk of dysrhythmias with use of anesthesia
Pregnancy during surgery…
Anesthesia and surgery associated with higher fetal death rate than normal plus premature labor
Low H+H can signify
Anemia and kidney failure
High H+H can signify
Dehydration
In order to make an autologous blood donation, what does the HGB have to be at least?
Higher than 11 g/DL
What is the rationale for NPO prior to major surgery or other less invasive procedures or diagnostic tests?
Ensures the stomach contains the limited volume of gastric secretions, which decrease risk for aspiration
Rationale for anticholinergics before surgery?
Reduce oral and pulmonary secretions, prevent laryngospasms, prevent bradycardia
Rationale for antihistamines prior to surgery?
Provide sedation and antiemetic effects
Rationale for barbiturates prior to surgery?
Provide sedation and increase the duration of sleep
Rationale for H2 receptor antagonists prior to surgery
Reduce gastric acidity
