Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

3910 Health Promotion & Caring: Client's with Health Challenges I > Week 5 Peri-Operative Care > Flashcards

Week 5 Peri-Operative Care Flashcards

1
Q

Goals of Nursing Actions

A
  1. Collecting & interpreting information to determine risks associated with surgery
  2. Optimizing client’s health before & after surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pre-Operative Risk Factors

A
  • Age (physiological reserve)
  • Immunocompromised
  • Previous operations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Intra-Operative Risk

A
  • Anesthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Post-Operative Risk Factors

A
  • Complications
  • Healing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pre-Operative Patient Risk Factors

A
  • Less physiologic reserve
  • Comorbidities
  • Health status
  • Past surgical experiences
  • Allergies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Less Physiological Reserve

A
  • Old age
  • Young age
  • Pregnancy
  • Many comorbid health conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

High Risk Comorbidities

A
  • Cardiac
  • Respiratory
  • Diabetes
  • Renal/hepatic disorders
  • Pain disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Medications

A
  • Full history prescribed, over the counter, natural health products
  • Blood thinners & diuretics: high risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Labs & Investigations

A
  • Identify risk factors
  • Overall health status
  • CBC, Cr, electrolytes, ECG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Renal Lab Indicators

A
  • Ability to metabolize anesthesia
  • Manage fluid changes from surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hemoglobin Level

A
  • Surgery causes blood loss
  • Insufficient Hb pre-op = concern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Platelets INR

A
  • Info on bleeding risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

WBC Level

A
  • All surgeries have infection risk
  • Low WBC = difficult to fight infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Na Indicates

A
  • Overall homeostasis
  • Fluid balance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

K Level

A

Cardiac stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Consent

A
  • Informed consent legal mandate
  • Surgeon responsible for providing info for consent
  • No minimum age for consent
  • Identify concerns with validity of consent
  • Witness patient signature on form
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Teaching

A
  • Pain management
  • Resp deep breathing & coughing
  • Movement for venous return
  • Incision splinting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Prepping for Op

A
  • Holding nutrition
  • Insert IV
  • Implement appropriate orders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Scrub Nurse Role

A
  • Setting up sterile field
  • Prep equipment
  • Passes supplies to surgical team
  • Monitors aseptic technique
  • Performs sponge, needle, instrument count
  • Sends specimens to lab
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Circulating Nurse Role

A
  • Monitors client
  • Coordinates team
  • Monitors aseptic practice
  • Verifies consent
  • Performs second surgical safety checklist
  • Counts with scrub nurse
  • Transfers client to PACU
21
Q

RN-First Assist (RNFA)

A
  • Care under supervision of surgeon
  • Intraoperative performance of surgical first assistant techniques
22
Q

RN-Anesthesia Assistant (RNAA)

A
  • Provide anesthesia care under direct supervision of anesthesiologist/medical directives
  • Similar role fulfilled by RTs who have completed anesthesia assistant program
23
Q

Post-Op Care Priorities

A
  • Assess immediate response to surgery
  • Health status
  • Pain
24
Q

Readiness of Transfer from PACU

A
  • Return to baseline vitals
  • Sufficient pain management
  • Improving LOC
  • Nausea/vomit controlled
  • Wound dressing intact
25
Q

LOC Complications

A
  • Failure to return to baseline
  • Delirium
  • Low Glasgow coma
26
Q

LOC Expected Values

A
  • Moving towards alert & oriented
  • Expected drowsiness within 24hrs of surgery
27
Q

ABC’s Complications

A
  • Hypoxia
  • Atelectasis
28
Q

ABC’s Expectations

A
  • Patent airway
  • Normal rate, rhythm, depth
  • Deep breathing & coughing
29
Q

Hypoxia Findings

A
  • Dyspnea
  • Bradypnea
  • Low SpO2
  • Cyanosis
30
Q

Atelectasis Findings

A
  • Dyspnea
  • Tachypnea
  • Low SpO2
  • Cyanosis
  • Increased HR
31
Q

Opiate Pain Meds - Impact on Airway/Breathing

A

Airway depression

32
Q

Expected Circulation

A
  • Normal HR/BP
  • Temperature, colour
  • Bleeding as expected based on surgery
  • Heart rhythm
33
Q

Circulation Complications

A
  • Hypotension
  • Hypothermia
  • Hemorrhage/hypovolemic shock
  • Dysrhythmias
  • DVT
  • PE
34
Q

Hypothermia Findings

A
  • Low temp
  • Shivering
  • Piloerection
35
Q

Dysrhythmias Findings

A
  • Changes in BP/HR
  • Abnormal rhythm
36
Q

Deep Vein Thrombosis Findings

A
  • Pain in lower extremities
  • Cramping
  • Leg swelling
  • Red
  • Pain
37
Q

PE Findings

A
  • SOB
  • Chest pain
38
Q

Prophylaxis

A
  • Low molecular weight heparins
  • Decreased risk of bleeding compared to heparin
  • SC injections - 2 inches from umbilicus
  • Mild bruising normal
39
Q

Mobility Interventions

A
  • Pain management
  • Compression stockings
  • Sequential compression devices
  • Elevate legs
  • Interprofessional team
40
Q

Surgical Site Complications

A
  • Infection
  • Dehiscence
  • Evisceration
41
Q

Dehiscence Findings

A

Edges of wound unintentionally not-approximated

42
Q

Evisceration Findings

A
  • Edges of would unintentionally not-approximated
  • Fascia +/-
  • Organs visible or protrude
43
Q

Lines, Tubes, Drains Complications

A
  • Insertion site infection - phlebitis, interstitial
  • Failure to drain - dry tubing
44
Q

GI, GU Complications

A
  • Nausea & vomiting
  • Aspiration - NPO until recovered from sedation
  • Paralytic ileus
  • Oliguria
45
Q

Paralytic Ileus Findings

A
  • Abdominal distension
  • Absence of bowel sounds
46
Q

Oliguria Findings

A
  • Urine output <30ml/hr
  • Bladder distension
47
Q

Ambulatory

A
  • Readiness of discharge
  • Health teachings
48
Q

Admission

A
  • Monitor health status & pain
  • Risk for complications
  • Health teaching
  • Discharge planning
49
Q

Health Teachings

A
  • Diet
  • Care of wound site /dressings
  • Bathing recommendations
  • Medication instructions - side effects
  • Activities allowed or prohibited
  • Symptoms to report
  • Follow up appointments & prescriptions
  • Home care contact numbers
  • Ensure transportation arrangements

3910 Health Promotion & Caring: Client's with Health Challenges I (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions