Pre-op Flashcards
What is important info to know before surgery?
Health hx, physical exam, v/s, allergies
When does client teaching start? What is included in client teaching?
Before the surgery. Breathing exercises (diaphragmatic), leg exercises, coughing (splinting), use of incentive spirometer q2h while awake, turning and ambulating ASAP
What should the client discontinue before surgery?
Smoking 4-8 weeks prior, taking OTC medications including herbal medications (green tea) 2 weeks prior, Aspirin 7-10 days prior, anticoagulants (Warfarin, Coumadin) as ordered by doctor
How do you prepare the client for surgery?
Take off jewelry, wedding band can be taped to client, braid long hair, hospital gown left untied and open on the back, remove nail polish, and have client void
When should surgery be postponed?
If client is intoxicated or has uncontrolled HTN
What intervention is taken if emergency surgery needs to take place with an intoxicated client?
NG tube to prevent vomiting and aspiration
How can medications interact with anesthesia?
It can cause hypotension and circulatory collapse
What is recommended for the client to use for cleansing the skin before surgery?
Antibacterial soaps such as Dial and Hibiclens
Who’s responsible for providing information about the surgery?
The surgeon. The nurse is responsible for clarifying information.
Medications should be discontinued before surgery with the exception of what?
Insulin and steroids. Abruptly discontinuing steroids can cause cardiovascular collapse. Bolus of corticosteroid is administered before and after a surgery through IV.
Risk factors for surgical complications include…
Weight (obesity or emaciation), infection an sepsis, pulmonary disease, age (very young or very old), cardiovascular disease, endocrine dysfunction (diabetes)
