Perioperative Nursing Flashcards
Diagnostic
determine CAUSE of symptoms
ex. biopsy, exploratory laparotomy
Curative
REMOVAL of diseases part
ex. appendectomy
Restorative
- STRENGTHEN weakened areas
- Correct deformities
- Rejoin a separated area
ex. Herniorrhaphy, Mitral valve replacement
Palliative
RELIEVE symptoms without curing disease
ex. sympathectomy
Cosmetic
Improve appearance
ex. rhinoplasty
Responsibilities of the surgeon?
to obtain consent for the surgery and to explain, benefits, risks and possible complications
Preoperative teaching includes?
deep breathing and coughing exercises, leg exercises, and options for pain management
Diagnostic and laboratory test should include:
CBC, BUN, EKG, Electrolytes, HCG (for females), urinalysis, history & physical and chest x-ray
The client should be NPO for how many hours prior to surgery ? and should be given what the night before surgery of GI tract?
NPO 8-12 hours prior to surgery. An enema or laxative may be given the night before surgery of the GI tract.
Common Post Operative Complications include:
- Atelectasis (collapsed alveoli)
- Hemorrhage of the wound
- Thrombophlebitis
- wound infection
- dehiscence (separation of the wound)
- evisceration (wound contents are expelled)
- urinary tract infection
Risk Factor:
- obesity
- poor nutrition
- steroid therapy
pre-existing conditions
- diabetes mellitus
- cardiac
- respiratory
- neurological disorder
Jackson Pratt, Hemovac, Penrose
- used post op
- remove blood and fluids from the wounds to prevent infection
- promote sound healing
Nasogastric
- Used to decompress the stomach
- Levine: (1 lumen) low intermittent suction
- Salem Sump (2 lumens) continuous or intermittent suction
- monitor drainage for consistency, color, and amount *
Sengstaken- Blakemore
- Used to treat esophageal varieties (medical emergency)
- DEFLATE gastric ballon every 24-36hours- (3 lumens)
- keep scissors at the bedside
