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NRSG 302 > Week 2: Perioperative and Tracheostomy > Flashcards

Week 2: Perioperative and Tracheostomy Flashcards

1
Q

Benzodiazepines

A

Midazolam, diazepam, lorazepam, barbituates
- reduce anxiety and used fore sedative and amnesic properties

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2
Q

Anticholinergics

A

Atropine, glycopyrrolate
- used to reduce respiratory and oral secretions

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3
Q

Antacids

A

sodium citrate
- increases gastric pH and decrease gastric volume

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4
Q

When should oral preoperative medications be given

A

60-90 minutes

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5
Q

When should IV preoperative medications be delivered

A

administered after arrival in the preoperative holding area or the OR

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6
Q

When should subcutaneous preoperative medications be administered

A

30-60 minutes before arrival in OR

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7
Q

What three areas are the suite divided into the suite

A

Unrestricted: provides all access to people in street clothes who can interact with those in scrub uniform
Semi Restricted: Peripheral support areas, authorized personnel can access
Restricted: OR’s or locations where sterile supplies are open

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8
Q

Registered nurse role in preoperative

A

Usually first person to interact with patient and follows them throughout the journey advocating for them
Completes the surgical safety checklist

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9
Q

Circulating nurse role in preoperative

A

Is NOT scrubbed, gloved, or gowned and remains in the unsterile field
Documents nursing and medical activities throughout the perioperative period
Names all personnel involved, event times, additional interventions, surgical procedures performed, patient positioning, monitoring devices, equipment used, information on implants, blood loss, any unwanted events etc.
Most commonly helps the anesthesiologist

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10
Q

Practical Nurse perioperative role

A

Performs the surgical hand asepsis, gowned and gloved in sterile attire and remains in sterile field assisting the surgical team by preparing and handling instruments
Sets priorities, ensuring aseptic setup, performs surgical count concurrently, acts as patients advocate

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11
Q

Surgeon and Assistant roles in perioperative

A

Surgeon responsible for preoperative medical history and physical assessment, informed consent, patient safety, postoperative patient management
Assistant holds retractors (usually a physician, can be a med student)

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12
Q

Registered Nurse First Assistant role in perioperative care

A

RNFA facilitates and supports the health care needs of the patient through the perioperative continuum
Handle instruments, provide exposure, assist with maintaining homeostasis, and suture under supervision of the surgeon

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13
Q

Anesthesiologist role

A

Physician who is responsible for the administration of anesthetic agents
Protecting vital functions, managing pulmonary and cardiac complications, caring for critically ill
Inserts a laryngeal mask airway (LMA) when patient loses consciousness

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14
Q

Registered Nurse Anesthesia Assistant role

A

RN with advanced education, knowledge, and skills in anesthesia who work in collaboration with supervision of an anesthesiologist through the perioperative period

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15
Q

-ectomy

A

excision/removal

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16
Q

-oscopy

A

looking into

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17
Q

-ostomy

A

creation of opening into

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18
Q

-otomy

A

cutting into/incision

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19
Q

-plasty

A

repair/reconstruction

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20
Q

Appendectomy

A

surgical removal of the appendix

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21
Q

Gastroscopy

A

examining of upper digestive tract

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22
Q

Colostomy

A

surgery to create an opening called a stoma

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23
Q

Mammoplasty

A

Breast reduction surgery

24
Q

Discetomy

A

surgery to remove damaged part of a disk in the spine

25
Q

Knee arthroscopy

A

surgery that uses a tiny camera to look inside the knee

26
Q

Arthrotomy

A

surgically opening a joint

27
Q

Total hip arthroplasty

A

removing the damaged femoral head and cartilage

28
Q

Nephrectomy

A

the surgical removal of a kidney

29
Q

Cystoscopy

A

procedure to look inside the bladder using a camera

30
Q

ureterostomy

A

creates a new path for urine to leave the outside of the body (through bag on stoma)

31
Q

cystotomy

A

surgery performed to enter the bladder

32
Q

Ureteroplasty

A

fixing of scar tissue in the urine channel from the bladder out the penis

33
Q

causes of deviated septum

A

trauma, childhood growth, congenital abnormalities

33
Q

Deviated Septum

A

misalignment of normally straight nasal septum

34
Q

Unilateral nasal fracture

A

produces little or no displacement

35
Q

Bilateral nasal fractures

A

most common, give nose a flattened look

36
Q

Complex nasal fractures

A

may also shatter frontal bones

37
Q

Clear pink tinged fluid leaking from the nose

A

CSF leak

38
Q

Rhinoplasty

A

surgery performed on the nose to remodel or reconstruct the external nose

39
Q

Septoplasty

A

rhinoplasty in addition to reconstruction and remodelling of the nasal septum

40
Q

Epistaxis

A

Nosebleed

41
Q

Allergic rhinitis

A

inflammation of the nasal mucosa due to a specific allergen

42
Q

Sinusitis

A

when inflammation or swelling of mucosa blocks the openings in the sinuses, the secretions accumulate behind the obstruction

43
Q

Nasal polyps

A

benign mucus membrane masses that form slowly in response to repeated inflammation of the sinus or nasal mucosa

44
Q

When are oral preoperative medications administered

A

60-90 minutes before

45
Q

When are IV preoperative medications administered

A

After arrival in preoperative holding area or the OR

46
Q

when are subcutaneous preoperative medications administered

A

30-60 minutes before OR arrival

47
Q

What is a dispersive electrode

A

a flexible gel pad that is put near the operative site and attached to the ESU (what the surgeon uses to cauterize)

48
Q

Nursing assessment if there are postoperative alterations in respiratory alterations

A
  1. evaluate the airway patency, chest symmetry, depth, rate, and character of respirations
  2. assess for any use of abdominal/accessory muscles
  3. Auscultate breath sounds (anterior, posterior, lateral)
  4. Monitor VS
  5. Note any sputum or mucus
49
Q

Nursing assessment if there are postoperative alterations in cardiovascular function

A
  1. Monitor Q15 mins until stabilization
  2. Assess skin color, temperature, moisture, BP, HR, pulse, circulation, drains and dressings
50
Q

What cardiac abnormality signs call for the nurse to notify the physcian

A

a. Systolic BP <90 or > 160
b. Pulse <60 or >120
c. Pulse pressure narrows
d. BP gradually decreases during several consecutive readings
e. irregular cardiac rhythm develops
f. significant variation from preoperative

51
Q

Nursing assessment if there is postoperative alterations in neurological function

A
  1. Assess LOC, orientation and ability to follow commands
  2. Size, reactivity and equality of pupils
  3. Sensory and motor status
52
Q

Functions of the upper airway

A

heating/cooling inspired gas to body temperature
filtering
humidification
smell
phonation
passage for ventilation

53
Q

lower airway functions

A

conducting airway for ventilation gas exchange

53
Q

is the insertion of endotracheal and naso-endotracheal tubes in the scope of an RN?

A

not in the RN scope to insert

54
Q

Nasal Fracture

A

likely caused from trauma

NRSG 302 (6 decks)

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