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20 Cards in this Set

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Hypovolemic
Most common and most imp to watch for surgical shock complication
Post-op period
recovery period
continue assessments
-vital signs, wounds
Teach pt
pain control

types of shock as a surgery complication
hypovolemic(low fluid)
cardiogenic(heart prob)
neurogenic(sensation prob)
Phases of Surgery
Preoperative(pre-op)
Intraoperative(actual surgery)
Post-Anesthesia(PACU)
Post Operative(post-op)
Symptoms of shock
decrease urine
hypotension
tachycardia..1st thing to see
tachypnea(fast respiratoy rate)
moist, clammy, cold, pale skin
sensory changes..confusion
Ambulatory
Day surgery-usally follows same phasas as other surgeries
Compartment syndrome
(post-op complication)
circulatory disorder
Purposes of surgery
Prevent
Diagnostic/exploratory
Remove disease organ
Repair organ
Cosmetic
Relief
Circulating nurse
not sterile during intra-op, collects data, checks environment...
Post anesthesia care unit (PACU)
recovery room
frequent assessments
pain control
IV, tube...inspection
airway management
citeria for discharge
Pre-op assessments
(baseline to go from)
history
medications
Alergies
physical assessment
Pre-op training
Discuss procedure
Expected LOS
Discuss drains, IV's, meds...
Exercise and mobility
Intorduce post-op devices
Scrub nurse
remains sterile during intra-op, helps with tools...
Post-op complications
Deep vein thrombosis(bld clot)
Pulmonary Emboli(bld clot)
Pnuemonia,Atelectosis(collapse lung tis)
Wound infection
Hemorrhage
Evisceration
(post-op complication)
protrusion of organs through wound...need to cover with sterile and call physicain
Vital sign routine during post-op period
-15 mn x 4
-30 mn x 2
-1 hr x 4
Dihiscence
(post of complication)
seperation of wound edges, revealing underlying tissue
Pre-op check
completed by nurse prior to sending to surgery:may include
allergies, consent signed, NPO,name/allergy band, Remove items (jewerly, nail polish..)

Anethesia
partial or complete loss of sensation of pain with or with out loss of consciousness
-local(small...dentist)
-general(total loss, general)
-epidural(birth, spine/back)
Intra-op (surgery)
Strict aseptic technique
monitor vital signs
recored data
scrub and circulating nurse