Pre/Inta/Post-operative Flashcards

1
Q

When does the postoperative phase begin and end

A

begins with admission to the PACU, ends with follow-up evaluation

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2
Q

What are the 3 types of surgery

A

palliative, reconstructive, cosmetic

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3
Q

When does discharge planning begin

A

pre-admission to surgery (what will post-op look like, transportation, care)

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4
Q

What changes with insulin for surgery

A

it is either held due to NPO status, or is constantly given through an IV

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5
Q

What complications can corticosteroids cause

A

cardiovascular collapse if discontinued suddenly

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6
Q

What complications can diuretics cause

A

electrolyte imbalance –> respiratory depression

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7
Q

What complications can phenothiazines cause

A

can increase hypotensive action of anesthetics

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8
Q

What complications can tranquilizers cause

A

anxiety, tension, and seizures if withdrawn suddenly

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9
Q

What complications can anticoagulant cause

A

increase bleeding risk, should be discontinued before surgery

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10
Q

What can long time use of opioids do

A

alter patient response to analgesic agents

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11
Q

Where does consent accompany the patient

A

to the OR

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12
Q

Why does pain need to be controlled post-op

A

to allow for necessary post-op movement

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13
Q

When is voiding most important

A

preoperative, measurement postoperative

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14
Q

What does the circulating nurse do

A

monitor the surgical team

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15
Q

Is the circulating nurse sterile

A

no

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16
Q

What are important gerontologic considerations

A

decreased tissue elasticity (heart, lungs), decreased liver and kidney function, impaired metabolic rate and thermoregulatory mechanisms

17
Q

Clothing in unrestricted zone

A

street clothes allowed

18
Q

Clothing in semirestrictive zone

A

scrub clothes and cap

19
Q

Clothing in restrictive zone

A

scrub clothes, cap, shoe covers, mask

20
Q

What is a doubtful sterile object considered

A

unsterile

21
Q

When are sterile fields prepared

A

as close to their use as possible

22
Q

Inhalation anesthetic pros and cons

A

rapid but may cause respiratory problems/irritation

23
Q

Intravenous anesthetic pros and cons

A

good cardiovascular stability but has various side effects

24
Q

Regional anesthetic pros and cons

A

long lasting but allergic reactions are common

25
Q

What is the primary patient consideration

A

proper ventilation and oxygenation

26
Q

When should intubation/oral airway be taken out

A

when a gag reflex is present

27
Q

What is used during surgery to maintain blood pressure

A

IV fluids

28
Q

When should we intervene for post-operative nausea

A

at the first indication

29
Q

How often is a wound addressed

A

every 24 hours