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
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
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
4
Q
Self-Actualization of patient (3)
A
- patients rights
- participation in establishing goals
- decision making about healthcare
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
6
Q
Lab Test: BUN
A
Blood Urea Nitrogen (BUN)
- kidney function
- value 8-18mg
- Increased BUN: dehydration, deceased kidney function, GI bleed
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
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
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)
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