The Surgical Patient Flashcards

1
Q

The Patient Care Partnership (5)

A
  • replaces the patients bill of rights
  • plainer language
  • patient needs to be involved
  • patient is consumer of goods
  • patient is primary decision maker
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2
Q

The Patient Care Partnership sets the standard for (5)

A
  • high quality patient care
  • clean safe environment
  • involvement in healthcare
  • protection of privacy
  • help when leaving hospital
  • help with billing claims
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3
Q

Patient Basic Needs (6)

A

For patient, surgery is physical, social, psychological, spiritual event

  • nutrition
  • sleep
  • regulation of body process
  • fluid balance
  • respiration
  • elimination of waste
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4
Q

Self-Actualization of patient (3)

A
  • patients rights
  • participation in establishing goals
  • decision making about healthcare
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5
Q

Preoperative Preparation of the Patient

A
  • medical history and physical exam
  • lab tests: H&H, BUN, CBC, UA, Type and cross match
  • chest xray
  • ECG/EKG (electro cardiogram)
  • Diagnostic procedures
  • NPO
  • Oral medications
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6
Q

Lab Test: BUN

A

Blood Urea Nitrogen (BUN)

  • kidney function
  • value 8-18mg
  • Increased BUN: dehydration, deceased kidney function, GI bleed
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7
Q

Lab Test: CBC

A

Complete Blood Count (CBC)

  • RBC 4.2-6.2 million/mm, decrease means possible anemia
  • WBC 5000-10000 million/mm, elevation indicates infection
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8
Q

Preoperative Preparation of the Patient (9)

A
  • oral medications
  • hair removal, skin prep, preoperative hygiene
  • nail polish, acrylic nails are removes
  • jewelry
  • sedatives
  • dentures
  • voiding/catheterization
  • levin tube (inserted into stomach)
  • basal line vital signs
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9
Q

Preoperative Preparation of the Patient pt2 (8)

A
  • hospital attire
  • IV fluid to maintain fluid balance
  • bowel prep
  • communication barriers
  • personal belongings
  • prosthetics
  • body piercings
  • patient expression of death (surgeon immediately notified)
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10
Q

Critical Readiness For Discharge (12)

A
  • vital signs
  • respiratory status
  • reflexes
  • mental status
  • bleeding
  • circulation
  • pain
  • nausea/vomiting
  • oral intake
  • voiding
  • anesthesia considerations
  • ambulation
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