Perioperative care - things in red Flashcards
Suffix meaning: Excision or removal
Ectomy
Suffix meaning: Destruction of
lysis
Suffix meaning: repair or suture of
orrhaphy
Suffix meaning: looking into
oscopy
Suffix meaning: creation of opening into
ostomy
Suffix meaning: cutting into or incision of
otomy
Suffix meaning: repair or reconstruction of
plasty
During the preoperative assessment, it is vital to take note of any prescription and OTC medications, and ______ used.
herbs
Describe the preoperative rating.
Rating from I to V - done by anesthesiologist
I - healthy
II - mild risk
III - severe risk
III - severe threat to life
V - unlikely to survive 24 hours with or without surgery
Done to protect surgeon
There are three patient information types, what are they? Describe them.
Sensory information - what patient will see, hear, smell, taste, feel during surgery
Process information: patient wants general flow of what will happen, but not specific details
Procedural information: specific details - want to know everything
Consent:
- Anyone undergoing invasive procedure must sign an _________ consent
Pt. or legal designate must receive full explanation of the operation, including reasons for the surgery, alternatives available, _____ and ______, and probability of a successful outcome from the “_______”
informed
risks, benefits
surgeon
What is an important consideration in preoperative care when preparing the GI tract to receive GA?
Remove the water jug from the patient’s bedside
Although we generally remove everything from the patient and put their belongings in a safe area, what can they have on their person?
A wedding band taped in place
Immediate care prior to OR:
- Ensure patient has done this
- Complete this.
Ensure patient has voided
Complete and sign preoperative checklist
Immediate care prior to OR - preoperative medications.
What is important?
Check written preoperative Dr’s orders for which medications are to be given the DAY OR SURGERY
What is one of the more important meds to be given prior to surgery?
Insulin - up to doctor to determine, but best to ask; dose often elevated due to insult to body
What are the most important roles of the circulating nurse?
Ensures pt safety
Advocates for the patient
Admitting client to OR
- Done by?
- Pt identified by arm band, and ID number as well as asked to state name, surgeon’s name, operation and _______ (verified against consent)
circulating nurse
location
What do we use to report in between transfers?
SBAR Situation Background Assessment Recommendation
What is the MOST important part of post-operative care on the unit?
Reunite the family!
Post-operative assessment: Assess respiratory status: - \_\_\_\_\_\_\_ airway - \_\_\_\_\_\_\_ all lobes of the lungs - \_\_\_\_\_, \_\_\_\_\_ and \_\_\_\_\_\_ of respirations - Chest \_\_\_\_\_\_\_ - Body temperature > \_\_\_\_C in the first 24 hours or oxygen saturation \_\_\_ indicates this. What do we do?
patent auscultate rate, rhythm, depth symmetry 37.7C; 92% atelectasis Encourage DB and C
Post-operative assessment:
- Assess Circulatory status:
- thrombus can form in any blood vessel - be aware for _____, unilateral _______ or warmth in the _____
- Encourage ______ and leg ______, apply _______
- check ___, skin ____, and ______
pain, edema, calf
turning, exercises, stockings
VS, temperature, colour
Post-operative assessment:
Monitor the IV, PICC lines:
- Patency, type of solution and rate of infusion
- Check insertion sites for?
- Intake and output monitoring - ?
- Can be switched to _____ _____ once the pt is stable
reptiles
I&O - 0.5mL/kg/hr or 30mL/hr or urine
saline lock
Post-operative assessment:
Assess neurological status
- _______ first sense to return
- ______ more prone to confusion which can last for days to weeks - remember to observe for ______
- Anesthetics are ____ soluble so ______ patients require more anesthetic and take longer to clear drugs
- LOC, PERRLA, A&Ox3 - lingering effects of anesthesia for 24 hours
hearing
seniors - delirium
fat, obese
