preparation of the patient for surgery Flashcards
clipping and skin prep
clipper blades must be regularly sharpened
clip with the grain to remove the bulk of the hair
to get a closer clip cut against the grain of the hair
clip 5-15cm beyond the incision site
Ensure the edges of the clip are straight and neat
do not let the clipper blades get too hot
clipping and skin prep
clipping should be in prep room to prevent contamination of theatre.
Commonly a hoover is used to remove the hair immediately
skin prep
- wear gloves
-use a chlorhexidine - use lint free swabs
-have a ‘clean hand’ ‘ dirty hand’
-with the clean hand select a fresh swab and pass it to the ‘dirty hand’ - following initial prep, use a final prep product such as 70% isopropyl alcohol
eye and mucous membranes
- when clipping around eyes use ocular lubrication
- many solutions commonly used for scrubbing can be irritant to the mm’s
- dilute solutions of povidine iodine are used instead
- chlorhexidine solutions tend to be irritant and alcohol based solutions should be avoided all together
- Ensure the eye is well irrigated with saline following clipping
foot bandages
apply a foot bandage for suregry
- bandage distally to proximally
- take care with the tension on the dressing
- use a cohesive dressing
routine bitch spay
ASA 1
preoperative care
the time period describing the duration of a patients surgical procedure
preoperative - ward
bloods
pre-med
iv catheters
IVFT
Monitoring
preoperative - prep
Monitor
Endotracheal tube
skin prep
urinary catheters
Intraoperative
our patient should have a maintained airway and patent venous access
skin preparation: clipping, initial and final scrub, bandaging limbs
body temp
monitoring
Haemorrhage
weigh swab
collect via suction machine and measure
how to monitor and measure the loss
- can compensate if we know how much is lost
tourniquets
a tourniquet may be applied a few inches above the wound (between the heart and the wound)
adjust the tightness of the tourniquet to stop the blood flow
a tourniquet must not be left on for more than 15 minutes before its moved or slackened to allow the tissue to recover
swab counts
count swabs prior to first incision
maintain a track of swabs in and out
reduces likelihood of a swab being left in a cavity which causes infection and further surgery
postoperative - recovery
when do we stop monitoring our patient?
until patient has lifted their head/ swallowing and conscious
think about location of accommodation, ease of access, bedding, duration, movement
initally monitoring the recovery and extubation
post-op ward
monitoring vital signs, signs of pain, sign of shock, excretion
food and water
fluids
iv catheters when to remove
poisitoning
environment
medication
treatment plan, physiotherapy, cage rest, drainage
wound management
