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30 Cards in this Set

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