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