Unit 2 Kozier Flashcards
Unit 2 Kozier Reading
37
50 (1403-1419)
52 (1501-1507)
Unit 2 Kee Reading
21 (301-306)
26 (366-374)
45
47 (697-702)
Unit 2 Pillateri Reading
20 (531-532)
35 (1026-1028)
40 (1153-1157)
45 (1341-1344)
Atelectasis
Collapse of Alveoli sacs
Circulating Nurse
Responsible for Client safety, asepsis, and surgical environment including temp, humidity, and lighting. Also Responsible of surgical supply count
Closed Wound Drainage System
A pressurized drain or a drain attached to suctioning used to keep wounds/areas dry and reduce likelihood of infection (JP drain or hemovac)
Conscious Sedation
Minimal sedation level where PT can move and respond to stimuli (Valium, morphine, nitrous)
Elective Surgery
Preferred surgical treatment with a condition that is not immediately life threatening
Emboli
Blood clot that has traveled and causes an obstruction
Emergency Surgery
Surgery performed immediately to preserve life or function of a client
Epidural Anesthesia
Anesthesia in the epidural space
General Anesthesia
Induced loss of all sensation, consciousness, and reflexes
Intraoperative Care
Begins as client is transferred to the OR and ends when client is transferred to the PACU
Local Anesthesia
Anesthesia used for minor surgical procedures injected into a small and specific area
Major Surgery
Surgery that is high risk, may be complicated, prolonged, involve extensive hemorrhaging, or involves major organs
Minor Surgery
Surgery likely to be performed at an outpatient facility with a very low likelihood of complications
Nerve Block
Chemical interruption of nerve pathways by injecting a local anesthetic
Penrose Drain
Flat, thin, rubber tube inserted into a wound that allows drainage to flow onto a dressing
Peridural Anesthesia
Another name for an epidural
Perioperative Period
The entire surgical period including Pre, Intra, and PostOp phases
Postoperative Period
Begins at PACU admission and ends when healing is complete
Preoperative Period
Begins when the decision of surgery has been made and ends when the client enters the OR
Regional Anesthesia
Interruption of the transmission of nerve impulses to and from a specific area or region of the body and client remains conscious
Scrub Person
UA, LPN, or RN that drapes the client and assists in handling sterile supplies and performing instrument count
Spinal Anesthesia
Subarachnoid block
Anesthesia Injected into the subarachnoid space
Surface Anesthesia
Topical Anesthesia
Applied directly to the skin to decrease sensation
Suture
Thread used to sew tissue together
Thrombophlebitis
Inflammation of a vein followed by a blood clot
Thrombus
A stationary clot
Preop nursing responsibilities
Assess, Plan, Teach family and PT, Advocate,
Intraop Nursing Responsibilities
Provide safe environment, Assist the surgery, and gather equipment
Postop Nursing Responsibilities
Assess client, Perform interventions to promote healing and comfort, teach, support,
5 parts of informed consent
Reason for the surgery All available options Risks and Outcomes Surgeon's name and qualifications Right to refuse
3 main Preop Teaching points for PT
Anticipated sensations and experience
Social support and their roles
Intervention skills training (ie deep breathing)
Preop Pt eating/drinking guidelines
Clear liquids until 2 hours before
Light meal until 6 hours
Heavier meal until 8 hours before
Postop PT tasks before inpatient is discharged
BM, Urinate, Bowel sounds, steady vitals, Movement, Breathing TX
Defining traits for postop complications
1) Pneumonia
2) Atelectasis
3) Pulmonary Embolism
4) Thrombus
1) Fever and cough
2) Dull breath sounds decreased O2
3) Sudden chest pain and cyanosis
4) Pain, pallor, decreased pulse of extremity
Trache care
Assess O2/lung sounds Fowler/Semifowler Hypervent or hyperox Clean inner cannula Clean surrounding skin replace dressing Replace cath
Drainage system patient assessment responsibilities
Reposition Q2 Vitals Observe site Q4 Pain Deep breathing
Drainage system equipment assessment responsibilities
Patent
Tube lower than site and secure
Hypernatremia symptoms (FRIED)
Fever Restless Increased retention Edema Decreased Output
Hyponatremia (TAGS)
Tachycardia
Apprehension and confusion
Gi pain
Seizures
Hyperkalemia (MURDER)
Muscle twitch Urine decrease Resp distress Dysrythmia EKG change Reflexes irregular
Hypokalemia (WAR LAIR)
Weak Alkolosis Resp distress Lethargy Arrythmia Irritable Really sick
Hypercalcemia (PEG)
Pain
EKG change
GI problems
Hypocalcemia (CATS)
Convulsion
Arrythmia
Tetany
Spasms
Hypermagnesemia (RED)
Reduced Vitals
Excessive sweating
Decreased DTR
Hypomagnesemia (MEDIC)
Muscle Tremors EKG DTR Irritable Confused
