Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals NUR 220 > Perioperative > Flashcards

Perioperative Flashcards

1
Q

3 phases

A

pre
intra
post

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pre phase

A

time pt decides to have surgery to OR table

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

intra phase

A

OR to PACU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PACU

A

post anesthesia care unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

post phase

A

PACU to complete recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 types of urgencies

A

elective
urgent
emergency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

elective

A

scheduled, not urgent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

urgent

A

perform soon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

emergency

A

perform STAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ambulatory surgery

A

reduces length of stay
cuts costs
reduces pt stress
*stay home night before and come in for same day surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

risks: minor or major
what contributes

A

surgery length
under longer=greater risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

6 purposes

A

diagnostic
curative
ablative
palliative
reconstructive
transplantation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

diagnostic

A

to diagnose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ablative

A

removal of organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

palliative

A

reduce intensity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

reconstructive

A

restore function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

transplantation

A

organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

a biopsy is

A

diagnostic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

a hip replacement is

A

reconstructive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

debridement of injury is

A

palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

an appendectomy is

A

ablative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

main priority for preop

A

screening
teaching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is screening

A

identify risks so they don’t occur in OR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

risk factors to assess during screening

A

allergies
lab results
abnorm results
signed consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

teaching is performed when

A

pre op phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

teaching is reinforced when

A

post op phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

preop meds/skin preps

A

sedatives
anticholinergics
histamine receptor antihistamines
narc analgesics
antibiotics
hygiene and skin prep

28
Q

what do we teach

A

pain management
coughing and deep breathing
incentive spirometer
meds

29
Q

what do coughing and deep breathing do

A

prevent pneumonia and atelectasis
*anesthetics decrease ciliary movements- causes secretions to sit and lead to resp problems

30
Q

teach patient with midline abdominal surgery to

A

splint

31
Q

what meds to discontinue before surgery

A

blood thinners

32
Q

what meds do you continue

A

blood pressure
beta blockers

33
Q

what do chest xrays tell us

A

infection
heart failure
lung info

34
Q

what does an EKG tell us

A

arrthymias

35
Q

what does a CBC tell us

A

WBC
HCT
HB
*infection, anemia, platelets

36
Q

electrolytes tested

A

NA
K
CA
CL

37
Q

what does K tell us about

A

heart

38
Q

what does NA tell us about

A

dehydration

39
Q

what does atelectasis turn into

A

pneumonia

40
Q

what do we need to know about illicit drug use

A

what type
last use
*to avoid withdrawals

41
Q

what is an advanced directive

A

legal document for pt specific instructions post op

42
Q

AND

A

allow natural death

43
Q

what risks do we want to minimize

A

aspiration
intraoperative positioning injuries
imbalanced body temp

44
Q

when are antibiotics hung

A

1 hour prior to first cut

45
Q

clear liquids up to ___ hours before surgery

A

2

46
Q

light breakfast ___ hours before surgery

A

6

47
Q

heavier meal allowed ___ hours before surgery

A

8

48
Q

main goal intraop

A

safety and monitoring

49
Q

how to prevent aspiration

A

fluids
positioning

50
Q

bleeding/shock vital signs

A

increase HR
decrease BP

51
Q

what does hypothermia lead to

A

decreased blood flow= less O2 to site= less nutrients

52
Q

what does general anesthesia affect

A

LOC
analgesia
relaxation
loss of all reflexes

53
Q

what does regional anesthesia affect

A

analgesia
loss of reflexes below site

54
Q

what does conscious anesthesia affect

A

analgesia
amnesia

55
Q

what do topical/local anesthesia affect

A

analgesia

56
Q

example of regional

A

spinal block
epidural

57
Q

which anesthesia has the greatest risk

A

general

58
Q

malignant hyperthermia

A

autosomal dominant trait
*reaction to general anesthesia and neuromuscular blocking agents

59
Q

reactions from malignant hyperthermia

A

increased HR and RR
leads to:
hyperthermia
dysrhythmias
respiratory/metabolic acidosis

60
Q

malignant hyperthermia treatment

A

dantrolene

61
Q

main priority in PACU

A

assessment
prevention of complications

62
Q

how long is normal stay in PACU

A

1 hour

63
Q

what reflexes do we need to see

A

cough and gag
*protect airway

64
Q

nursing interventions for hemorrhage and shock

A

monitor BP and HR
monitor I&O
assess dressings and drainage
monitor hgb and hct

65
Q

lung complications

A

thrombophlebitis
pulmonary embolus

66
Q

what is a saddle embolism

A

goes into both pulmonary arteries and veins

Fundamentals NUR 220 (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions