Surgical Patients

Question 1

Eviscerations

Answer 1

Exit, intestines popped out

Use normal saline and soak dressing
Cover intestines
Vital sign(delegated)
Call surgeon

Question 2

Dehiscence

Answer 2

Separation/opening

Question 3

General anesthesia complications

Answer 3

Malignant hyperthermia, overdose, unrecognized hypoventilation, incubation problems

Question 4

Return to consciousness after general anesthesia

Answer 4

Muscle irritability, restlessness and delirium, recognition of pain, ability to reason and control behavior

Question 5

Know the vital sign normal

Answer 5

Blood Pressure: 120/80

Heart Rate: 60-100

O2- 92-100%

Respiratory Rate: 12-18

Temperature: 97.8-99.1F

Question 6

MHT complications

Question 7

MHT intervention

Answer 7

Causes increased demand for O2 due to muscle rigidity, insert foley catheter, apply external and internal cooling

Question 8

How to treat MHT

Answer 8

Dantrolene and Sterline water (diluent)

Sometimes shivering is normal, give Demerol

Question 9

MHT signs and symptoms

Answer 9

Early S/S: muscle rigidity, dark colored urine/myoglobinuria, fever, tachycardia, PVC

Late S/S: mottled skin, progressing to cyanosis, soaring fever, metabolic and respiratory acidosis, renal failure

Question 10

What are SCD’s and how to explain to your patient

Answer 10

Inflatable sleeves that fir around your legs. The sleeves are attached to a pump that inflates and deflates the sleeves. The pumping action acts like your muscles to help blood flow and prevent clots.

Question 11

Preparing your patient for surgery

Question 12

Lab levels of H&H, K, Na, and glucose levels

Answer 12

Hemoglobin: 12-18g/dL

Hematocrit: 37-50%

K levels: 3.5-5

Na:135-145

Gluscose: Fasting 70-100