Test 2 - DM Test Review Flashcards
What happens when a pt is vomiting after surgery
Pt may need an NG tube inserted postop
A pt with frequent urination postop may need?
Straight Cath
How do you know if pt is retaining urine?
Bladder scan
Dantrolene is used for?
Malignant Hyperthermia: rare genetic metabolic disease characterized by hyperthermia with rigidity of skeletal muscles that can result in death.
Compartment Syndrome
Important to monitor for compartment syndrome. A condition in which elevate intracompartmental pressure within a confined myofascial compartment compromises the neurovascular function of tissues within that space. (Edema in leg pushes on blood vessels causing internal damage)
Is a warm, red incision normal?
Yes, initially
A pt should stop taking anti-coags ____ days before surgery
4-5 days before; including aspirin
Stopping steroids
Be sure to taper pt off of steroids
Weights for traction….
should hang freely
Bridge therapy
bridging therapy may be defined as postoperative anticoagulant overlapping of at least 2 therapies that are administered together during the period of switching from an injectable anticoagulation agent to oral anticoagulation that takes several days to start working. Once INT is elevated to the appropriate level, they will take the pt off of the injectable med. Ex: Lovenox and Coumadin.
Intradermal Injections
Needle Angle: 15 degrees
Max Volume: 1 mL
Needle Size: 26-27 gauge
Location: Inner forearm
Subcut Injection
Needle Angle: 45-90 degrees Volume: 1-2 mL Gauge: 25-27 Length: 3/8 - 5/8 inch Location: Upper arm, Upper legs, abdomen
Intramuscular injection (IM)
Needle angle: 90 Max Vol: 3 mL Gauge: 19-23 Length: 1-1.5 inches Locations: Ventrogluteal, Dorsogluteal, Deltoid, vastus lateralis
