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16 Cards in this Set
- Front
- Back
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Describe the difference between 'pre-op" as Pre-anesthesia consult and Pre-op holding area?
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Pre-op anesthesia: Do THE pre-op
Pre-op Holding Area (POHA): Patient is IN pre-op. |
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Purpose of medical assessment?
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To answer these 3 big questions:
1. patient in optimal health? 2. pt's physical or mental condition be addressed before surgery? 3. meds that may have influence on PERIop events? |
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Overall, how do we do this?
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Intro
Chart review Take histroy -Illness -Meds/allergies -Surgical/anestetic -Family, social -Review of systems NPO status Physical exam Labs/studies Consults as needed |
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How to identify the patient:
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Double check pt's name, surgeon, procedure, date of procedure.
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Abbreviations:
CVA, LICS, LVH, ROM |
CVA: cerebral vascular accident.
LICS: left intercostal space LVH: left ventricular hypertrophy. ROM: range of motion. |
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How to introduce yourself?
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Name, professional title, what you will be doing.
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Describe the basics of beginning a physical exam.
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Vital signs
Emphasis on airway, heart, lungs, neuro. and extremeties. Neurological exam in regional anesthesia. |
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ASA physical status
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I. Pt healthy besides appointment for surgery.
II. Mild systemic disturbance but under control. III. Severe systemic disturbance and not well managed. IV. Life threatening disorder. V. Moribund, non responsive. Just breathing. VI. Organ donor. Brain dead. VII. Emergency. (E) |
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3 important points concerning Universal Precautions:
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Hand washing
Sharps Reporting incident |
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List the equipment needed for insertion of IV access:
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Non steril gloves
Angiocath (20g, 18g, 16g, 14g IV fluid bag (0.9% NS) IV tubing set Tape Gauze Local anesthetic Syringe Sharps container Tourniquet IV prep swabs Transparent dressing- Tegaderm |
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Describe basic techniques for IV insertion:
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Start more distally
Upper extremties -Dorsum of the hand -Forearm -Antecubital fossa (cephalic and basilic) |
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Describe different types of fluids:
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Crystalloid
Colloid Blood products |
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Crystalloid fluid examples:
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Lactated Ringers
NS Plasma Lyte |
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What to consider when using crystalloid fluid?
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Electrolyte and acid base balances.
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Examples of Colloids:
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Albumin
Hetastarch Dextran Better volume expander. |
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What to think about when choosing a fluid?
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Pt hx
The procedure Lab work Site to administer |
