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Preoperative care Flashcards

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1
Q

Phases of Perioperative Care

A

Preoperative Phase: Assessment; Review of each system and potential complications; medication reconciliation;preoperative teaching; preoperative checklist/consenting

Intraoperative Phase: Role of the scrub nurse and circulating nurse; anesthetics

Postoperative Phase: Immediate postoperative assessment priorities; potential complications; interventions to prevent complications;discharge planning

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2
Q

Ambulatory/Outpatient Surgery

A

Ambulatory/Outpatient Surgery, Preferable. less risk of infection than Inpatient

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3
Q

Classification of Surgeries

A

Surgical procedures can be classified

By purpose: e.g., palliation: relief of symptoms of cancer for example or other life-threatening diseases
By degree of urgency: e.g., elective
By degree of risk

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4
Q

Preoperative PhaseAssessment?

A

History and Preexisting Conditions
Psychosocial: see how the patient is doing psychologically.
Past Health History
Past diagnoses: Diabetes, cad, smoking
Current medical problems
Family health history: history of malignant hypothermia

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5
Q

Review the Nervous System?

A

history of stroke (it’s in the brain remember), cognitive decline, can the patient follow directions, mobility issues, Parkinson’s disease.

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6
Q

Cardiovascular System?

A

Consider hypertension, CAD, risk of clotting, prophylactic antibiotic (old school not used anymore). BP, anticuagulants

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7
Q

Pulmonary system?

A

Smoking history
Altered pulmonary function
Xray
check for infection
history of cough
breath sounds
convince patient to stop smoking 6 weeks before surgery at least

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8
Q

Renal system

A

Consider:
Medication that is taking
CAD
diabetes and glucose level

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8
Q

Renal system

A

Consider:
Medication that is taking
CAD
diabetes and glucose level

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9
Q

Hepatic System?

A

Consider alterations in liver function that impact glucose metabolism, bleeding time, liver failure etc..
Assessement of liver function
Alcohol history

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10
Q

Gastrointestinal System?

A

Npo
The patient needs to have a bowel prep
Your need to clean it to avoid peritonitis (inflammation of the peritoneum)

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11
Q

Musculoskeletal system?

A

Identify if there are any mobility issues for the post-operative phase because we want our patient to get out of bed as soon as possible.
If they have osteoarthritis you want to make sure that the bed is padded.

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12
Q

Nutritional status?

A

Obesity and malnourishment
Risk dehiscence
Delayed closure tertiary or secondary
low prealbumin and protein
someone who is malnourished doesn’t has those proteins necessary for metabolizing medications including anesthesia
Poor wound healing
Risk of edema and skin breakdown
pressure injury

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13
Q

Endocrine

A

Diabetes
making sure that insulin is managed appropriately before surgery
Have hemoglobin A1C
Look at the glucose value
poor wound healing
make sure that you know what insulin he uses

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14
Q

infection ?

A

Chronic infection due to diabetes
pulmonary infection
post-op infection

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15
Q

Medications

A

We would ask the patient to bring all their medications so that we can look at them and reconcile them before surgery

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16
Q

Medications of concern?

A

Insulin: make sure to get orders clarified
Aspirin: bleeding risk
Plavix: bleeding risk platelets
Ativan (anxiety): make sure that consent is Signed before administrating
No ibuprofen or aspirin 7 days before surgery

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17
Q

Allergies?

A

latex allergy
iodine shellfish, rubber allergy bananas avocado
history of malignant hypothermia
aspirin ibuprofen
tape allergy

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18
Q

Preoperative PhaseAssessment. Laboratory and Diagnostic Tests

A

CBC - Type & Cross - Urinalysis
- Pulse Oximetry - ECG - Xrays - pregnancy

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19
Q

Client fears and anxiety?

A

Not waking up after surgery
infection
if it is going to change their life
Fear of losing bowels
teach them about pain management before surgery
Have anesthesiologist come and talk to them

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20
Q

Geriatric considerations

A

have a family member present to make sure that they get everything
decreased kidney function
circulation can affect first pass effect
check for confusion and delirium

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21
Q

Patient and Family Teaching?

A

NPO Status
Prescreening for post-operative home care needs
Postoperative medications/prescriptions
Postoperative transportation can’t drive after surgury

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22
Q

Turning

A

to avoid pressure injury

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23
Q

Leg exercises

A

To prevent DVT and to promote venous return
FYI teach them about the meds that they might be on such as enoxaparin which is used to treat deep venous thrombosis
Teach them about prophylaxis (action taken to prevent disease, especially by specified means or against a specified disease)

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24
Q

Pain management

A

Teach them what to expect

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25
Q

Emergencies

A

no time to get ready for surgery and get consent

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26
Q

Skin Prep

A

Preoperative showering: at least one day before surgery with chlorhexidine. No lotion.
Shaving: How do we reduce the risk of SSI ( surgical site infections)? surgical site infection. Don’t shave on the surgical site because there might be micro-abrasions and that can be a port of entry. If shaving occurs it’s going to be before surgery.

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27
Q

Bowel Preps for surgeries of the colon

A

Go through bowel prep
make sure they have no stool in thier GI

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28
Q

Informed Consent?

A

Informed Consent
Physician ultimately responsible for obtaining consent
Nurse may be responsible for obtaining & witnessing pt signature but not getting the consent itself. The consent has to be before taking drugs otherwise it is not valid.
Nurse acts as pt advocate
Must be signed before preop meds given!
Emergencies? no time to get a consent. in this case, it takes 2 surgeons’ signatures. You assume that consent is present when there is an emergency.

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29
Q

Pre-operative Checklist

A

It is checked twice by preoperative nurse and circulating nurse.
The form that lists requirements to be ascertained (aviriguado )before the patient goes to OR
Documents diagnostic tests complete (A type of test used to help diagnose a disease or condition)
Documents pre-op medication given
Documents VS
Documents safety data
ID band in place; 2 identifiers
Jewelry removed
Last void
Dentures removed
Informed consent verified
Patient Allergies

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30
Q

Intraoperative Phase. Look at Taylor

A

Aseptic Technique (Surgical Asepsis)
Goal is to minimize contamination of wound and prevent post-op infection

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31
Q

Universal Protocol?

A

Conduct a pre-procedure verification process
Mark the procedure site

Perform a “Time Out”: it is to avoid errors. Ex: wrong limb. Everyone including the patient must know what is going to be done and where the surgery is going to be.

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32
Q

Intraoperative Phase which happens in the operating room

A

Role of Surgical Nurse: Steril field they are the ones who give the surgeons their tools
Scrub Nurse ( assist the surgical team by donning sterile masks, gloves and gowns as well as aid the physician by passing instruments during surgery)/Technician
RN Circulator: is the problem solver and advocate they make sure that the patient prep is complete.
Patient Advocacy
Nurse is legally responsible for correct counts! The scrub and circulating nurse are responsible for counts of sponges, and sharps. The 2 need to be in agreement.

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33
Q

General Anesthesia?

A

Intravenous Agents
Inhalation Agents
Adjuncts to General Anesthesia

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34
Q

Postanesthetic Medications?

A

Used to treat anxiety, pain, agitation
Watch for resp depression
Flumazenil used to reverse effects of benzodiazepines(ex: versed which has an amnesia effect)
Narcan used to reverse effects of opioids

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35
Q

EMLA, Lidocaine

A

Surface or Topical

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36
Q

Intraoperative PhaseLocal Anesthetics

A

Local Infiltration
Injection into tissues
Regional Nerve Block
Injection into or around a specific nerve or nerve group to promote anesthesia
Lymph node biopsy, cataract surgery

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37
Q

Spinal Anesthesia
?

A

Injection of local anesthetic into CSF (Cerebrospinal fluid)found in subarachnoid space
Anesthesia can extend from xiphoid process to feet
Autonomic, sensory and motor block
For procedures involving lower abd, groin, perineum, lower extremity

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38
Q

Epidural Anesthesia

A

Injection of an anesthetic into epidural space
Thoracic or Lumbar
Sensory pathways blocked, motor intact, unless high doses
Used intraop and postop continuous infusions
Commonly used in L&D (labor and delivery), hip replacements, knee replacements, lower abd surgery

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39
Q

Conscious Sedation
Indications?

A

Conscious Sedation
Indications? (Conscious sedation is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic) during a medical or dental procedure.)
Nurses are often responsible for administering meds & monitoring pt. but need special training

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39
Q

Conscious Sedation
Indications?

A

Conscious Sedation
Indications?
Nurses are often responsible for administering meds & monitoring pt. but need special training

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40
Q

When does the Postoperative Phase start?

A

With the patient’s transfer to the recovery unit Verbal report by anesthesia & RN Circulator
General Information
Patient History
Intraoperative Management
Intraoperative Course

41
Q

Postoperative PhaseAssessment

A

Adequacy of airway: Immediate priority assessment
Airway looks good
Iv fluids ok
Tubes patent
patient breathing well
no bleeding
Adequacy of airway: Immediate priority assessment
Vital Signs: CV, periferal perfusion
status of pulses perfusion of nail beds
CV Status:
LOC
Presence of Protective Reflexes: gag, cough
Activity: Able to move extremities, sensation

42
Q

Postoperative PhaseAssessment 2

A

Fluid Status:
I&O
IV infusion rate
Patency of tubing
Signs of dehydration/overload

Condition of Operative Site:
Dressing drainage: Amt, color, type
Mark
Inform – do not change coz it’s the surgeon who changes the first dressing. May reinforce
Patency & Character of drains
Catheter, tubes, JP, hemovac etc…
Discomfort
Pain

Nausea and Vomiting
Notify anesthesia

Position
Safety

43
Q

Postoperative Phase, Nursing Diagnoses

A

Ineffective Airway Clearance
Ineffective Breathing Pattern
Impaired Physical Mobility
Acute Pain
Impaired Tissue Integrity
Deficient/Excess Fluid Volume
Risk for Delayed Surgical Recovery

44
Q

Postoperative PhaseImplementation

A

Ongoing systems assessment
vs q 5-15 min depending on pt condition plicies etc..
Interventions individualized depending on dx
May need to medicate
Communicate changes with MD

45
Q

Postoperative Phase Evaluation

A

Discharge Criteria: Review Aldrete Score in Hinkle Figure 19-3
Report: Give report to floor
Documentation
- Usually flow sheet
- Document assessment,
communication, VS, I&O. Has pt. met
discharge criteria?

46
Q

Care of the Postoperative Patient on the Unit?

A

Assessment
Vital Signs
Continue with systems assessment q 1-4 hrs. initially
Closely monitor for potential complications

47
Q

Postoperative Phase Implementation?

A

Implementation (con’t)
NPO as ordered ice chips?
Monitor I&O
Maintain patency of drains
Up in chair as soon as possible
Ambulate as soon as possible most significant measure to prevent post-op complications
Advance diet as indicated

48
Q

Postoperative Phase Implementation?

A

Implementation (con’t)
NPO as ordered ice chips?
Monitor I&O
Maintain patency of drains
Up in chair as soon as possible
Ambulate as soon as possible most significant measure to prevent post-op complications
Advance diet as indicated

49
Q

Check slide 72

A

make flashcards

50
Q

Check slide 72

A

make flashcards

51
Q

Potential Complications post op

A

Shock: Inadequate tissue perfusion
(First sign may be decreased urine output) a severe drop in blood pressure that causes a dangerous reduction of blood flow throughout the body.

Hemorrhage

Thrombophlebitis (an inflammatory process that causes a blood clot to form and block one or more veins, usually in the legs)

Pulmonary Embolus (occurs when a blood clot gets stuck in an artery in the lung, blocking blood flow to part of the lung)

Pneumonia

52
Q

Potential Complications post op

A

Shock: Inadequate tissue perfusion
(First sign may be decreased urine output)

Hemorrhage

Thrombophlebitis

Pulmonary Embolus

Pneumonia

Surgical Site Complications

Complications With Elimination
Dehiscence and Evisceration

53
Q

check slide 74

A
54
Q

Geriatric Considerations
Postoperative Phase

A

Geriatric Considerations
May have more difficult and longer post-op recovery
Decreased resp function, cough: Risk of pneumonia
Decreased renal perfusion: Can’t compensate for CV changes (Reduced cardiac output or hypotension causes decreased renal perfusion)
Under treatment of pain

55
Q

Discharge Planning

A

Discharge Teaching
Appropriate Referrals: i.e. Home Health Nurse
Follow-up appts
Supplies
Documentation

56
Q

Based on urgency: Elective

A

delay of surgery has no ill effects. It can be scheduled in advance based on the patient’s choice.
Purpose: to remove or repair a body part. to restore function. to improve health.
Examples: Tonsiloctomy, hernia repair, cataract extraction, and lens implantation, hemorrhoidectomy. facelift.

57
Q

Cardiovascular diseases preoperative?

A

thrombocytopenia, hemophilia, recent
myocardial infarction or cardiac surgery, heart failure, and dysrhythmias-
increase the risk for anesthesia complications, including hemorrhage and
hypovolemic shock, hypotension, venous stasis,

58
Q

Respiratory disorders preoperative?

A

Respiratory disorders–such as pneumonia, bronchitis, asthma, emphysema,
and chronic obstructive pulmonary diseases-increase the risk for respiratory
depression from anesthesia as well as postoperative pneumonia, atelectasis, and
alterations in acid-base balance.

59
Q

Kidney and liver diseases preoperative? 

A

Kidney and liver diseases influence the patient’s response to anesthesia, affect
fluid and electrolyte as well as acid-base balance, alter the metabolism and
excretion of drugs, and impair wound healing.

60
Q

Endocrine diseases preoperative?

A

Endocrine diseases, especially diabetes mellitus, increase the risk for
hypoglycemia or acidosis, slow wound healing, and present an increased risk for
postoperative cardiovascular complications.

61
Q

History medication Anticoagulants? 

A

May precipitate hemorrhage

62
Q

History of diuretics ?

A

Diuretics (may cause electrolyte imbalances, with resulting respiratory
depression from anesthesia)

63
Q

History of tranquilizers?

A

Tranquilizers (may increase the hypotensive ()(lowering the blood pressure) effect of anesthetic agents)

64
Q

History of adrenal steroids ?

A

Adrenal steroids (abrupt withdrawal may cause cardiovascular collapse in long-term users)

65
Q

Antibiotics in the mycin group history?

A

Antibiotics in the mycin group (when combined with certain muscle relaxants
used during surgery, may cause respiratory paralysis)

66
Q

Surgeries based on purpose ?

A

1-Diagnostic
2-Ablative
3-Palliative
4-Reconstructive
5-Transplantation
6-Constructive

67
Q

Based on purpose. Diagnostic

A

• To make or
confirm a
diagnosis
Breast biopsy, laparoscopy, exploratory
laparotomy

68
Q

Based on purpose ablative

A

To remove a
diseased body
part
Appendectomy, subtotal thyroidectomy,
partial gastrectomy, colon resection,
amputation

69
Q

Based on purpose palliative

A

To relieve or
reduce intensity
of an illness; is
not curative
Colostomy, nerve root resection,
debridement of necrotic tissue, balloon
angioplasties, arthroscopy

70
Q

Based on purpose reconstructive

A

restore function
to traumatized or
malfunctioning
tissue
• To improve self-
concept

Scar revision, plastic surgery, skin graft,
internal fixation of a fracture, breast
reconstruction

71
Q

Based on purpose transplantation

A

To replace organs
or structures that
are diseased or
malfunctioning

Kidney, liver, cornea, heart, joints

72
Q

Based on purpose Constructive

A

To restore function
in congenital
anomalies

Cleft palate repair, closure of atrial-septal
defect

73
Q

Based on degree of risk major

A

Major: May be
elective, urgent,
or emergency

To preserve life
* To remove or
repair a body part
* To restore function
* To improve or
maintain health

Carotid endarterectomy, cholecystectomy,
nephrectomy, colostomy, hysterectomy,
radical mastectomy, amputation,
trauma repair, CABG (coronary artery bypass graft)

74
Q

Based on degree of risk minor

A

• To remove skin
lesions
• To correct
deformities

Teeth extraction, removal of warts, skin
biopsy, dilation and curettage,
laparoscopy, cataract extraction,
arthroscopy

75
Q

Based on urgency elective

A

Elective: Delay of
surgery has no ill
effects; can be
scheduled in
advance based
on patient’s
choice

To remove or
repair a body part
To restore function
• To improve health
• To improve self-
concept

Tonsillectomy, hernia repair, cataract
extraction and lens implantation,
hemorrhoidectomy, hip prosthesis (may
also be urgent), scar revision, facelift,
mammoplasty

76
Q

Based on urgency. Urgent

A

Urgent: Usually
done within 24-
48 hours

• To remove or
repair a body part
• To preserve or
restore health

Removal of gallbladder, coronary artery
bypass graft (CABG), surgical removal of
a malignant tumor, colon resection,
amputation

77
Q

Based on level of urgency. Emergency

A

Emergency: Done
immediately

To prevent further
tissue damage
• To preserve life
(plus purposes
listed above)

Control of hemorrhage; repair of trauma,
perforated ulcer, intestinal obstruction;
tracheostomy

78
Q

Cardiovascular system

A

Check for peripheral edema

79
Q

Neurological system

A

Assess visual and hearing ability

80
Q

Use of alcohol and drugs before surgery?

A

Large habitual intake of alcohol require larger doses of anesthetic agents and postoperative analgesics. Patients who use illicit drugs are at risk for interactions with anesthetic agents.
Patients who smoke are at higher risk for respiratory complications after surgery. They are at risk of hypoxia and postoperative pneumonia.  Smoking compromises wound healing by constricting blood vessels and impairing blood flow to healing tissues

81
Q

Routine preoperative tests?

A

×-ray, electrocardiography,
complete blood count (CBC), ejectrolyte levels, and urinalysis.

Significant abnormal
findings include an elevated white blood cell count (presence of infection),
decreased hematocrit and hemoglobin level (presence of bleeding, anemia),
hyperkalemia or hypokalemia (increased risk for cardiac problems), and elevated
blood urea nitrogen or urinalysis results (potential kidney issues).

82
Q

Postoperative exercises? 

A

Deep breathing, coughing, incentive spirometry, leg exercises, turning in bed, early ambulation

83
Q

Deep breathing ?

A

During surgery the cough reflex is suppressed mucus accumulates in the trachea Rocchio passageways and the lungs do not ventilate fully.
Respirations often are less effective as a result of anesthesia, pain and medication. alveoli do not inflate and may collapse, and secretions are retained, increasing the risk for atelectasis and respiratory infection
Deep-breathing exercises hyperventilate the alveoli and prevent them from collapsing again, improve lung expansion and volume
help to expel anesthetic gases and mucus, and facilitate oxygenation of tissues.

84
Q

Incentive Spirometry

A

Incentive Spirometry An incentive spirometer is often ordered for patients having surgery. The proper technique for using it should be practiced preoperatively. This device helps to increase lung volume and inflation of alveoli and facilitates venous return. A gauge on the incentive spirometry device allows patients to measure their progress and provides immediate positive reinforcement for the breathing efforts. See Chapter 39 for more information.

85
Q

Coughing

A

Coughing Teaching Coughing and Splinting helps remove retained mucus from the respiratory tract and usually is taught in conjunction with deep breathing. Coughing is especially important in patients with an increased risk for respiratory complications. Because coughing is often painful, teach the patient how to splint the incision (i.e., support the incision with a pillow or folded bath blanket) and to use the period after pain medication has been administered to best advantage. See Guidelines for Nursing Care 30-2 on how to teach the patient how to cough effectively.

86
Q

Leg Exercises:

A

Leg Exercises: During surgery, venous blood return from the legs slows. In addition, some surgical positions, such as having the legs elevated in the lithotomy position (see illustration in Box 26-2 on page 699), decrease venous return. With circulatory stasis in the legs, thrombophlebitis, DVT, and the risk for emboli are potential complications. Leg exercises increase venous return through flexion and contraction of the quadriceps and gastrocnemius muscles. Leg exercises must be individualized to patient needs, physical condition, physician preference, and facility protocol

87
Q

Turning in Bed:

A

Turning in Bed: Turning in bed improves venous return, respiratory function, and intestinal peristalsis, and prevents the unrelieved skin pressure that would occur if the patient were to remain in only one position. Although turning in bed sounds like a simple procedure, incisional pain makes it difficult, underscoring the need for practicing it before surgery. To turn in bed, patients should raise one knee, reach across to grasp the side rail on the side toward which they are turning, and roll over while pushing with the bent leg and pulling on the side rail. A small pillow is useful for splinting the incision while turning. The patient should turn and change positions in bed every 2 hours when awake.

88
Q

Early Ambulation:

A

Early Ambulation: Although related to leg exercises and turning in bed, early ambulation has positive effects on the respiratory, cardiovascular, integumentary, musculoskeletal, gastrointestinal, and renal systems. Discussing the benefits during the preoperative period helps patients fully engage in this activity (as appropriate) postoperatively despite expected pain and discomfort.

89
Q
  1. Explain the purpose for informed consent and describe the nursing role regarding consent
A

Description of the procedure or treatment (its name, site, and side if applicable), potential alternative therapies, and the option of nontreatment
The underlying disease process and its natural course
Name and qualifications of the health care provider performing the procedure or treatment—provide an emphasis on shared decision making between the patient and provider(s)
Explanation of the risks (nature, magnitude, probability of the risks) and benefits
Explanation that the patient has the right to refuse treatment and that consent can be withdrawn Explanation of expected (not guaranteed) outcome, recovery, and rehabilitation plan and course
Informed consent protects the patient, the health care providers, and the health care facility. The signed, dated, and timed form is a legal document as well as an ethical imperative. More detailed information about informed consent is included in Chapter 7.Advance directives, which are also legal documents, allow patients to specify instructions for health care treatment should they be unable to communicate these wishes postoperatively. This allows patients to discuss their wishes with family members in advance of the surgery. Suspension of a do-not-resuscitate (DNR) or allow-natural-death (AND) order, although not required for surgery, should be discussed as part of the informed consent process.
Actions used in resuscitation (mechanical ventilation, vasoactive drips) are integral to the surgical process, and surgery itself poses specific risks where reversible cardiopulmonary arrest may occur (American College of Surgeons, 2014). It is important to discuss and document the exact wishes of the patient before surgery, especially related to resuscitation. See Chapter 43 for more information on advance care planning.

The nurse is responsible and accountable for the verification of and witnessing that the patient or the legal representative has signed the consent document in their presence and that the patient, or the legal representative, is of legal age and competent to provide consent. They also confirm that the patient has sufficient knowledge to make a knowledgeable decision.

90
Q

Preoperative anesthetic  Sedatives

A

Sedatives, such as diazepam, midazolam, or lorazepam, to alleviate anxiety and
decrease recall of events related to surgery

91
Q

Preoperative anesthetic Anticholinergics

A

Anticholinergics, such as atropine and glycopyrrolate, to decrease pulmonary
and oral secretions and to prevent laryngospasm

92
Q

Preoperative anesthetics narcotic analgesics

A

Narcotic analgesics, such as morphine, to facilitate patient sedation and
relaxation and to decrease the amount of anesthetic agent needed

93
Q

Preoperative anesthetics  Neuroleptanalgesic agents

A

Neuroleptanalgesic agents, such as fentanyl citrate-
droperidol, to cause a general state of calmness and sleepiness

94
Q

Preoperative anesthetics  Histamine-2 receptor blockers

A

Histamine-2 receptor blockers, such as cimetidine and ranitidine, to decrease
gastric acidity and volume

95
Q

Principles of surgical asepsis

A

Allow only a sterile object to touch another sterile object. Unsterile touching sterile means contamination has occurred.
• Open sterile packages so that the first edge of the wrapper is directed away from the worker to avoid the possibility of a sterile
surface touching unsterile clothing. The outside of the sterile package is considered contaminated. Opening a sterile package is
shown and described in Skill 24-3 on pages 628-633.
• Avoid spilling any solution on a cloth or paper used as a field for a sterile setup. The moisture penetrates through the sterile cloth
or paper and carries organisms by capillary action to contaminate the field. A wet field is considered contaminated if the surface
immediately below it is not sterile.
• Hold sterile objects above the level of the waist. This will ensure keeping the object within sight and preventing accidental
contamination.
• Avoid talking, coughing, sneezing, or reaching over a sterile field or object. This helps to prevent contamination by droplets from
the nose and the mouth or by particles dropping from the worker’s arm.
• Never walk away from or turn your back on a sterile field. This prevents possible contamination while the field is out of the
worker’s view.

Keep all items sterile that are brought into contact with broken skin, or used to penetrate the skin to inject substances into the
body or to enter normally sterile body cavities. These items include dressings used to cover surgical incisions, needles for injection,
and tubes (catheters) used to drain urine from the bladder.
• Use dry, sterile forceps when necessary. Forceps soaked in disinfectant are not considered sterile.
• Consider the edge (outer 1 inch) of a sterile field to be contaminated.
• Consider an object contaminated if you have any doubt as to its sterility.

96
Q

chlorhexidine kaiser

A

what you use to shower before surgery

97
Q

Role of Surgical Nurse:

A

Steril field they are the ones who give the surgeons their tools

98
Q

RN Circulator:

A

is the problem solver and advocate they make sure that the patient prep is complete.

99
Q

Scrub nurses aka surgical nurse

A

assist the surgical team by donning sterile masks, gloves and gowns as well as aid the physician by passing instruments during surgery

100
Q

Scrub nurses

A

assist the surgical team by donning sterile masks, gloves and gowns as well as aid the physician by passing instruments during surgery

101
Q

Flumazenil

A

used to reverse effects of benzodiazepines(ex: versed which has an amnesia effect)

102
Q

Narcan

A

used to reverse effects of opioids

Fundamentals of nursing (11 decks)

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