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40 Cards in this Set
- Front
- Back
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Spinal anaesthetic |
Injection into the subarachnoid space via lumbar puncter |
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Local anaesthetic |
Injection of anaesthetic agent to specofoc body area |
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Epidural |
Opioid injection delivered via catheter inserted into midlumbar region of epidural space |
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Type of incisional pain experienced following a total hip replacement |
Nociceptive |
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Caudal anaesthetic |
Injection of local anaesthetic into epidural space through the caudal canal |
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Pain resulting from injury to or abnormal functions of peripheral nerves or the CNS |
Neuropathic |
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Pain management involving use of more than one method of controlling pain |
Multimodal pain management |
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Why should leg veins not be used for IVs? |
Danger of stagnation of circulation |
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Where should tourniquet be placed? |
3-4" above insertion site |
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Cather gauge 14 16 or 18 (IV) |
Trauma, surgery |
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Catheter gauge 20 (IV) |
Continuous or intermittent infusions and pressure rated infusions |
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Catheter gauge 22 (IV) |
General, intermittent, children and geriatrics |
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Catheter gauge 24 (IV) |
Fragile veins, general and intermittent |
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Best IV gauge for meds |
22 |
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Ideal IV gauge for blood |
20 |
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Indications for PN |
NPO, fistulas, intestinal dysfunction or obstruction, cancer, trauma, sepsis, severe malnutrition |
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How is position of central line in vena cava checked? |
Chest xray |
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Complications associated with TPN |
Pneumothorax, embolism, sepsis, dislodgement, occlusion, metabolic problems |
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What is IV direct? |
Administration of medication via syringe over specific period of time >1min |
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When is deep breathing and coughing contrindicated in a postop pt? |
Facial surgeries, hernia operations, throat or cataract surgeries |
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What to report to RN in epidural pt |
Voiding difficulties, bowel dysfunction, change in sensory level, asymmetrical motor or sensory function, inability to move legs when previously could |
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S/S of epidural infection or hematoma |
Increasing back pain, bowel or bladder dysfunction, decreased sensory or motor ability |
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S/S postop hemorrhage |
Restlessness, anxiety, hypotension, frank bleeding, clammy skin, thready pulse, rapid resps |
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Interventions for postop hemorrhage |
Call medical intervention team, notify surgeon, apply pressure dressing |
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Interventions for postop shock |
Call medical intervention team and surgeon, establish and maintain airway, elevate pt legs, administer o2, monitor V/S |
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S/S of postop thrombophlebitis |
Pain and cramping, redness, swelling, elevated temperature, increased in diameter of involved extremity |
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Interventions for postop thrombophlebitis |
Notify surgeon, administer medications, keep pt on bed rest, apply external heat, apply gradual compression stockings or ICP |
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S/S of postop pulmonary embolism |
Dyspnea, chest pain, cough, cyanosis, rapid resps, tachycardia, anxiety |
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Interventions for postop pulmonary embolism |
Notify dr, call medical intervention team, keep pt on bed rest in semi fowlers, administer O2 |
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S/S postop pneumonia |
Fever, chills, rusty or purulent sputum, crackles or wheezes, dyspnea, chest pain |
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Interventions for postop pneumonia |
Position in fowlers or semi fowlers, administer O2, frequent oral hygiene |
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S/S postop atelectasis |
Decreased lung sounds, dyspnea, cyanosis, crackles, restlessness, apprehension |
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Interventions for postop atelectasis |
Position in semi fowlers or fowlers, administer O2, administer analgesics for pain, notify surgeon and medical intervention team |
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S/S compartment syndrome |
Poikilothermia, pallor, pain, paralysis, pulselessness, paresthesia (numbness and tingling) |
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Interventions for compartment syndrome |
Cast may need to be removed, reduction in traction wt, surgical decompression |
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Normal biliary tube drainage |
250-500ml in 24 hours |
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Most common reason for joint replacement surgery |
Osteoarthritis |
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Epidural contraindications |
Unable to give consent, takes anticoagulants, systemic or local infection, increased ICP, allergies or long term NSAID use |
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Drug categories that increase surgical risks |
Anticoagulants, diuretics, tranquilizers, adrenal steroids, mycin antibiotics |
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Arthroplasty complications |
Dislocation, skin breakdown, infection, neurovascular compromise, thrombolitic complications |
