Perioperative Flashcards
refers to partial or complete restoration of a damaged
organ or body part
Restorative (reconstructive)
Categories according to urgency/timing
Unplanned (emergency, imperative/urgent)
Planned (planned required surgery, elective, optional)
Scope of preop
Informed consent Nursing activities are directed towards patient support, teaching and preparation for the procedure
repair congenitally defective structure
constructive
(1) sit on edge of bed or lie supine with knees flexed to relax abdominal muscle; (2) place hand on abdomen; (3) inhale through nose until abdomen balloons outwards; (4) exhale thru pursed lips while contracting abdominal muscles
deep breathing
kheirurgos means
working by hand
looking into/to visualize
Oscopy
preoperative teaching includes the following
- Assess learning needs of the patients, consider expectations, level of
understanding, age and cultural background
o Discussion about diet and family visits
o Review of OR procedures
o Preparing patient for recovery (importance of ROM exercises postoperatively,
breathing and coughing exercises, etc.)
o Discussion on pain control
performed to estimate the extent of disease and confirm the diagnosis of a particular patient.
exploratory
the longer the duration of the disease, the lower the resistance of the patient, the higher the risk of surgery
Duration of the disease
SURGERY
Activities on the day of surgery
o Early morning care
o Pre- operative medication
o Recording
o Transportation to OR
o Care of patient’s family
The nurse’s report will serve as a concise evaluation of the care given during the entire pre-operative phase.
The nurse’s report will communicate all pertinent data to the OR nurse.
Contains records of pre- operative teaching content and the patient’s (as well as patient’s family) responses; vital sign, pre- operative medications given, laboratory and diagnostic results
recording
performed to remove diseased, damage, or congenitally malformed body
organ/ part.
curative/ablative
Begins when the patient is transferred to PACU or Recovery Room onwards
POST- OPERATIVE PHASE
fears of patient
o fear of destruction of body image
o fear of permanent disability
o fear of pain
o fear of dying
Generally, patients indicated for surgery should have light dinner,
should take nothing per orem, post-midnight, have an enema (as
ordered)
Bowel Preparation
MAJOR CATEGORIES OF SURGICAL PROCEDURES ARE ACC. TO WHAT
According to purpose
According to urgency/timing
According to extent/magnitude
Patients will to live, cooperation
mental outlook
increases risk for complications (hypokalemia, hyponatremia, dehydration)
Fluid and Electrolyte balances
Emergency category within 30mins-1 hr
Category A
cause of erosion
Continuous physical irritation
Infection
Inflammation/ ulceration
determine the patient’s ability to sustain expenses needed for the surgery, medication, etc.
occupational status
turning and reposition every 2 hours; turning team
Turning exercises