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14 Cards in this Set
- Front
- Back
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Surgical Classification
c.c. pep d. |
• Diagnostic determine presence and/or extent of known disease
• Curative remove or repair , appendectomy ectomy to rmv • Palliative relieve symptoms tracheotomy • Preventive • Explorative • Cosmetic/Reconstructive plasty |
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preop assess
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pychologic, to reinforce coping strategies during surgical experience
phsiologic, that may add to operation risk factors baseline data for intraoperative and postop ident,docu surgical site ident meds b4 and otc which may effect surgical outcome confirm that the results of preop labs & diog tests r documented in pt record & communicated 2 appropriate personall ident cultural & ethnic factors that may affect the surgical experience determine if pt got adequate info from surgeon 2 make informed decision 2 have surgery & that consent form is signed and witnessed |
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orrhaphy
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repair or suture, herniorrhaphy
CURATIVE |
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osotomy
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palliative, create an opening
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palliative means
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to relieve symtoms
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anathesia physical class
p1 p2 p3 p4 p5 p6 |
p1=normal healthy person
p2 mild systemic disease p3=sever systemic disease p4=sever systemic disease which is a constant threat to life p5= moribund pt who will die w/o surgery p6= brain dead,their organs will be removed for donation |
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is the scrub nurse sterile? lpn or scrub tech
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nursing team member of the sugical team. prep of supplies and eqip of the sterile field . cks for break in sterile technique
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circulating nurse does...
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coordinate events b4 during and after surgery.cks 4 breach of aseptic technique, moitors documents supplies and eqip. sponge counts, talks to family
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types of anathesia
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general iv and inhale, local, conscious sedation or twilight sleep( reduce anxiety and facilitate cooperation, she maintains her own airway,
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positioning in OR
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prevent occlution of ateries and viens, nerves,eyes, bony prominences. assess 4 aches pains or deformities that may be aggravated on the table.
controlled hypotension, =lower blood loss controlled hypothermia, lowers metabolism, so less anathesia goal to prevent injury |
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pacu
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hypo-ventilation & effects of anathesia leads to hypoxia in 40 % of pts and asipartation.
60 % have HYPOTHERMIA from anathesia, this increases recovery and morbidity |
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receiving post op client
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air
l.o.c. vitals ck wound/dressing/drainage urinary=30 cc p/hr ck iv lines ck pain spouse? ck post op orders, then implements them |
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assess pain post op
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1st 48 hrs probobly need narcotic analgesic.
---------------------------- pattern location intensity on a pain scale nature (dull sharp) DOCUMENT, IT'S MANDATED reassess in ONE HOUR to assess for effectiveness of what you did |
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Pain - Nursing Management
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Pain - Nursing Management
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