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30 Cards in this Set
- Front
- Back
surgery
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invasive proceedure
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perioperative nurses
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different fazes of nurses
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preoperative
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pt can still change mind
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interaoperative
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in OR during surgical time
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postoperative
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after surgery
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PACU
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post anesthesia care unit
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diagnostic surgery
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biopsies
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curative surgery
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amputation, broken limbs, to restore physical function
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palliative surgery
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decrease spread of disease to extend life or ellieviate pain
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cosmetic surgery
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"implants"
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WHo must inform pt of surgical procedure, benefits, risk, alternative actions and expected outcome?
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surgeon
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Who must get informed consent?
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surgeon
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Informed consent
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must be voluntary
witnessed No sedation meds within 4 hrs prior to consent |
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Preop assessment purpose
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obtain baseline data
Id risk factors ascertain clients consent assess clients knowledge of procedure assess clients emotional status |
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T/F
the signed consent is part of the permanent chart record and must accompany the client to OR |
true
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T/F
the preoperative nursing care is to place the client in the best possible condition for surgery |
True
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Alcohol
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may get lower dose of anesthesia- are considered somewhat sedated
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Anticoagulants
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risk of hemorrhage
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antidepressants-MAOI's
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increase hypotensive effects of anesthetic agents
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St Johns Wort
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increases time to wake up after surgery
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garlic
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increase bleeding
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cardiovascular meds
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affects tolerance of anesthesia, muscle relaxants, narcotics
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corticosteroids
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increase glucose levels
risk of hemorrhage |
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endocrine replacement
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NPO status may decrease insulin needs
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reversal agent for sedative
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Narcan
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anaphylaxis
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s/s- hypotension, tachycardia, bronchospasm, pulmonary edema
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Malignant hyperthermia
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s/s-high fever, tachycardia, muscle rigidity, heart failure, cardiac arrest, pseudotetany, CNS damage
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hypotension with normal pulse, warm dry skin
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residual vasodilation effect of anesthesia-keep monitoring
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hypotension with rapid pulse, cold, clammy skin
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hypovolemia shock requiring immediate treatment
O2, notify anesthesiologist, fluids |
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atelectasis
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collapse of aveoli
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