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34 Cards in this Set
- Front
- Back
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Preoperative role |
Educate, advocate, check vitals, check labs, skin prep, food restrictions, consent forms, dress, intestinal prep, anxiety, meds |
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Intraoperative role |
Greet, review mar, review pre op checklist, verify consent forms signed, document risk assessment, answer questions, give support, set up supplies, prepare bed, position patient |
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Postoperative role |
Assess respiratory and cardiovascular function, neurological assessment, fluid and electrolyte balance, urinary and renal function, GI function, drains, dressings, pain, reposition, vitals, mobility, education, discharge planning. |
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Dehydration s/s |
Poor skin turgor, dry mucous membranes, light leaded, fast pulse, low blood pressure, headache, confused, thirst |
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Hypervolemia s/s |
Fluid over load. Edema, weight gain, bounding pulse, high blood pressure, excess urination |
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Hyponatremia s/s |
Low NA below 136, headache, confusion, cramps, weakness, fatigue, irritability, diarrhea, tachycardia, shock, coma, convulsion |
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Hypernatremia s/s |
Raised NA above 145, restlessness, irritability, twitch, weakness, decreased contractility pulse and blood pressure |
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Hypokalemia s/s |
Low K less than 3.5, anorexia, nausea, abd distention, lethargy, weakness, low BP, dysrhythmias, thirst |
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Hyperkalemia s/s |
High K above 5, nausea, vomiting, numbness, irritability, weakness, oliguria, anuria, conduction disturbance, cardiac arrest, ventricular fibrillation |
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Hypocalcemia s/s |
Low Ca less than 9, fracture, tingling, convulsion, abd deposits, muscle spasms, dysrhythmias, arrest |
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Hypercalcemia s/s |
Ca above 10.5, kidney stones, kidney damage, lethargy, coma, muscle fatigue, hypotonia, decreased GI motility, decreased activity, dysrhythmias, arrest |
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Hypomagnesemia s/s |
Mg below 1.3, agitation, depression, confusion, convultions, tremor, ataxia, cramps, increased pulse, hypertension, dysrhythmia |
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Hypermagnesemia s/s |
Mg above 2.1, drowsiness, confusion, coma, weakness, paralysis, hypertension, flushing, warmth, raised temperature, decreased pulse, arrest |
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Hyponatremia diet |
Add salt into your diet |
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Hypernatremia diet |
Foods low in sodium. Ex no pre packaged foods. Foods with less than 600 mg of sodium |
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Hypocalcemia diet |
Foods high in calcium. Cheese, yogurt, milk, leafy greens, cereals, oranges, canned salmon, shrimp, peanuts |
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Hypercalcemia diet |
Avoid dairy |
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Hypokalemia diet |
Avocados, bananas, figs, kiwi, oranges, spinach, tomatoes, milk, peas, beans, Pb, bran |
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Hyperkalemia diet |
Eggs, bread, butter, cereal, sugar, some fruits, some veggies |
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Hypomagnesemia diet |
Leafy greens, nuts, nut butters |
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Hypermagnesemia diet |
Avoid foods high in magnesium |
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Respiratory acidosis s/s |
Headache, blurred vision, dyspnea, tachypnea, restlessness, confusion, diaphoresis, lethargy, ventricular dysrhythmias, dialated blood vessels, cyanosis, coma |
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Respiratory acidosis s/s |
Headache, blurred vision, dyspnea, tachypnea, restlessness, confusion, diaphoresis, lethargy, ventricular dysrhythmias, dialated blood vessels, cyanosis, coma |
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Respiratory alkalosis s/s |
Anxiety, panic, light headed, parasthesias, circumoral numbness, palpitations, chest tightness, tremors, confusion, dysrhythmias, tetany, syncope, seizures |
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Respiratory acidosis s/s |
Headache, blurred vision, dyspnea, tachypnea, restlessness, confusion, diaphoresis, lethargy, ventricular dysrhythmias, dialated blood vessels, cyanosis, coma |
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Respiratory alkalosis s/s |
Anxiety, panic, light headed, parasthesias, circumoral numbness, palpitations, chest tightness, tremors, confusion, dysrhythmias, tetany, syncope, seizures |
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Metabolic acidosis s/s |
Hypotension, tachypnea, fruity breath, cold clammy skin, n/v, diarrhea, confusion, flushed, warm, dry, stupor, coma, dysrhythmias, kussmauls respirations |
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Respiratory acidosis s/s |
Headache, blurred vision, dyspnea, tachypnea, restlessness, confusion, diaphoresis, lethargy, ventricular dysrhythmias, dialated blood vessels, cyanosis, coma |
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Respiratory alkalosis s/s |
Anxiety, panic, light headed, parasthesias, circumoral numbness, palpitations, chest tightness, tremors, confusion, dysrhythmias, tetany, syncope, seizures |
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Metabolic acidosis s/s |
Hypotension, tachypnea, fruity breath, cold clammy skin, n/v, diarrhea, confusion, flushed, warm, dry, stupor, coma, dysrhythmias, kussmauls respirations |
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Metabolic alkalosis s/s |
Weakness, hyporflexia, polyuria, polydipsia, cardiac rhythm disturbances, tetany, apathy, confusion, stupor |
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Complications of general anasthesia |
Malignant hyperthermia, overdose, hypoventilation. Dantrolene is antidote |
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Ramsay sedation score |
RSS1- anxious agitated restless RSS2- cooperative oriented calm RSS3- responds quickly but only to command RSS4- brisk response to stimulus RSS5- sluggish response to stimulus RSS6- no response to stimulus repeat to conscious |
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National patient safety goals |
Correct patient Staff communication Correct meds Alarms used Prevent infection Identify safety risks Prevent surgical mistakes |
