Pre Op Flashcards
What is pre op?
Begins when the pt is scheduled for surgery and ends at the time of transfer to the surgical suite
As a nurse what do you have to asses in infants before surgery
Assess respiratory system, glucose, and fluid and electrolytes
What population is at greater risk pre op?
Pediatric pts and geriatric pts
As a nurse what do you need to assess for in a child before surgery?
Assess the developmental level of the child in order to educate and communicate properly
As a nurse what do we need to be aware of in adults before surgery?
Pre-existing conditions, assess pt hearing to determine if it understand explanations and education related to surgery,
Which population is at a higher risk for developing pneumonia & surgical site infection? And why?
Older adults, decreased mobility not moving around as much
What do corticosteroids affect before surgery?
They can delay wound healing
If a pt is taking anticoagulants before surgery?
It can contribute to post op bleeding, need to stop the med prior to surgery
Can a pt take ibuprofen and Aleve prior to surgery?
No!
What can diuretics do before surgery?
They can effect fluid and electrolyte status. Especially potassium to high or to low potassium can cause cardiac arrhythmias
Which herbs and supplements should be avoided prior to surgery?
Garlic, vitamin e, ginco viloba, fish oil, these can increase bleeding
As a nurse can you get informed consent?
No! As a nurse you can only witness a signature
if a pt is not taking in enough protein what can happen?
it can cause slower healing
when should the pt stop smoking prior to surgery?
6 weeks before surgery
why can the cardiovascular system affect the length and extent of surgery?
if a pt has uncontrollable hypertension, surgery may postponed until the blood pressure is under control
a pt with diabetes is at an increased risk for what?
hypo/ hyperglycemia, wound infection, and metabolic acidosis
which population is highly susceptible to infection?
immunosuppressed, pt with transplant, pt who has aids, cancer pt who on chemotherapy or radiology, pt on corticosteroids it effects there immune system, leukemia
as a nurse why do you have to assess neurological prior to surgery?
have to get the pt baseline, assess the pts ability to follow commands, respond to questions
which population can take longer to clear anesthesia?
older population
what meds can cause cardiovascular collapse if discontinued suddenly?
corticosteroids, need to be tapered off
which med can cause excessive respiratory depression due to imbalanced electrolytes?
thiazide diuretics (furosemide)
which med can alter a pt response to anesthesia?
opioids
which med can increase risk for bleeding?
anticoagulants
as a nurse what responsibility should they do pre operative?
its the nurse responsibility to ensure the tests have been obtained and abnormal results reported
