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14 Cards in this Set

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Pre Op Teaching
What the experience will be like for the patient

Whats going to happen

When Where how
Pre Op teaching for POST op experience
Deep breathing and coughing exercises (Esp thoracic or abdominal surgeries)
Post Op pain management
Post Op mobility
General Anesthesia
IV or Inhalent
Inhalent Anesthesia
Can cause coughing, laryngospasm, bronchospasm, increased secretions, R depression
Sore throat Dental Damage Laryngeal edema and spasm
Antiemetics
Prevent nausea and vomiting associated with anesthesia
Local and Regional Anesthesia
Regional- Spinal/epidural
Local- lidacaine
Regional nerve block
Injection of agent into the nerve (usually brachial, femoral)
Conscious Sedation
IV depressed LOC without impairing pt ability to maintain airway

W Colonoscopies

reversal Narcan
Catastrophic Events in the OR
Anaphylactic Reactions
Malignant Hyperthermia
Malignant Hyperthermia
Hyperthermia and skeletal muscle rigidity
can cause death
occurs during procedure usually post op
Family hx?
When PT comes to PACU
Vital signs Q15min
ABC
Extubated
Breathing
LOC? Post delerium?
Post OP Hypoxemia
Post OP Pulmonary Edema
Post OP Aspiration
Changes from baseline Pa02 <60 mmHg
Second to fluid overload
Aspiration
POST OP
Laryngospasm and Bronchospasm
Hypoventilation
Increase in Smooth muscle tone causing closure of small airways (asthma of the throat)
Caused by depression of central respiratory drive (Increased PaC02)
Antidiuretic Hormone Secretion
Increased immediate POSTOP period

Administer fluids with caution
Avoid fluid overload