Surgery Effects on Health and Fx- Chp 23? Flashcards
Emotional support is a nursing intervention. T or F
True
occurs when the bowel is temporarily paralyzed & distention occurs; stoppage of the flow of intestinal contents
paralytic ileus
Why is it important to manage glucose during surgery?
Ensuring glucose is under 200 promotes wound healing and reduces infection
Goal of rehabbing and nursing a patient is to:
Return patient to performing their ADLs
handheld device that helps patients improve their lung function by teaching them to take slow, deep breaths
incentive spirometer
clot to legs-
clot to lungs-
what helps prevent this?
DVT- Deep Vein Thrombosis
Pulmonary Emboli
Activity, Excercise, Pt Ambulation/ Encouraging Pt movement
How does nutrition effect surgery?
Good nutrition promotes immune response and wound healing
Patients are kept NPO post op until…
bowel sounds return or they can pass gas
Most common HAI are …
Surgical site infections
It is ok for patient’s to have surgery if they are sick. T or F
False- Being sick puts pt under risk for complications
What helps decrease risk of SSIs? (surgical site infections)
Patient’s having normal temp
Wiping pt body w/ Chlorhexidine wipes
Pre treat w/ abx 1 hr prior to sx
temperature management system used to keep patient’s normal body temp intra & post op
Bair hugger machine
Severe body temperature elevation after administration of certain anesthetics; FATAL condition; aka “Code Hot”
malignant hyperthermia
S&S of malignant hyperthermia
masseter rigidity
temp goes up 1 degree every 5 mins
tachypnea
Cyanosis
Skin mottling
Why is it important to have NO food or drink in stomach prior to surgery?
It decereases risk of aspiration + aspiration pneumonia
How much urine is expected for patient’s post op and by when ?
At minium 30 cc’s/ hr
Pt must void within 8 hrs post op
Urine output determines hemodynamic stability
What could no/low urine output indicate?
Possible bleeding/hemorraging.
Blood is not making it to kidneys to be filtered
In the case of blood loss, what is a safe alternative?
IV fluids;
For 1 cc of blood loss replace w/ 3cc’s of IV fluid
If patient does not have a catheter, how long after surgery should they void?
Patient should be voiding within 8 hrs post op
Purpose of voiding pre op…
Bladder shrinks and makes more organs more visually accessible
What should nurse do if patient has not voided withing 8 hrs post op?
Use a bladder scan
If urine visible, get MD order for straight cath
If urine not visible, call MD - pt is likely behind in IV fluids
Purpose of laxatives for sx..
To clear bowels of feces and prevent infection of surgical field
What promotes bowel sounds and gas?
Ambulation
1-2 days of NO bowel sounds post op in abnormal. T or F
False- it is normal. If more than 2 days, MD should be alerted
When are foley catheters removed?
After 24 hrs due to CAUTI
