Pre/Inta/Post-operative Flashcards
When does the postoperative phase begin and end
begins with admission to the PACU, ends with follow-up evaluation
What are the 3 types of surgery
palliative, reconstructive, cosmetic
When does discharge planning begin
pre-admission to surgery (what will post-op look like, transportation, care)
What changes with insulin for surgery
it is either held due to NPO status, or is constantly given through an IV
What complications can corticosteroids cause
cardiovascular collapse if discontinued suddenly
What complications can diuretics cause
electrolyte imbalance –> respiratory depression
What complications can phenothiazines cause
can increase hypotensive action of anesthetics
What complications can tranquilizers cause
anxiety, tension, and seizures if withdrawn suddenly
What complications can anticoagulant cause
increase bleeding risk, should be discontinued before surgery
What can long time use of opioids do
alter patient response to analgesic agents
Where does consent accompany the patient
to the OR
Why does pain need to be controlled post-op
to allow for necessary post-op movement
When is voiding most important
preoperative, measurement postoperative
What does the circulating nurse do
monitor the surgical team
Is the circulating nurse sterile
no
What are important gerontologic considerations
decreased tissue elasticity (heart, lungs), decreased liver and kidney function, impaired metabolic rate and thermoregulatory mechanisms
Clothing in unrestricted zone
street clothes allowed
Clothing in semirestrictive zone
scrub clothes and cap
Clothing in restrictive zone
scrub clothes, cap, shoe covers, mask
What is a doubtful sterile object considered
unsterile
When are sterile fields prepared
as close to their use as possible
Inhalation anesthetic pros and cons
rapid but may cause respiratory problems/irritation
Intravenous anesthetic pros and cons
good cardiovascular stability but has various side effects
Regional anesthetic pros and cons
long lasting but allergic reactions are common
What is the primary patient consideration
proper ventilation and oxygenation
When should intubation/oral airway be taken out
when a gag reflex is present
What is used during surgery to maintain blood pressure
IV fluids
When should we intervene for post-operative nausea
at the first indication
How often is a wound addressed
every 24 hours
