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18 Cards in this Set
- Front
- Back
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Preoperative Nursing Goals |
To prepare the pt. for surgery and pt. safety. This care includes education and any intervention needed before surgery to reduce anxiety and complications and to promote pt. cooperation in procedures after surgery. |
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Potassium (K) |
3.5-5.0 |
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Sodium (Na) |
90> 136-145 mEq/L >90 132-146 mEq/L |
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Glucose |
60> 70-110mg/dL 60-90 |
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Creatinine |
Females 60> 0.5-1.1 mg/dL 60-90 0.6-1.2 >90 0.6-1.3
Males 60> 0.6-1.2 60-90. 8-23 >90 1.0-1.7 |
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Bun |
10-20 |
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Chloride |
90> 96-106 90<. 98-111 |
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The nurse obtains lab results for pt scheduled for surgery today. Which results might necessitate postponing surgery? |
Hgb 8.0 |
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Informed consent is not valid if obtained |
From pt with head injury |
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The nurse recognize that the pt. with the highest surgical risk is a ... |
92 yo with occasional confusion |
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The nurse teaches the pt. that morphine and Valium given post op will ? |
Reduce anxiety and promote relaxation |
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A pt in stage 2 anesthesia will exhibit ? |
Irregular breathing |
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The following anesthetic agents are administered to a pt. during surgery. Which causes muscle relaxation? |
Vercuronium |
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Restorative Surgery |
Performed to improve a pt's functional ability
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Example of restorative surgery |
Total knee replacement, finger reimplantation |
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Age related changes and their effect on surgeries |
Decreased cardiac output, increase bp, decrease peripheral circulation, reduced visual capacity, loss of lung elasticity, decreased 02 of blood, decrease blood flow to kidneys, decrease inability to excrete waste, decrease in glomerular filtration rate, nocturnal common, sensory deficits, slower reaction time, decrease ability to adjust to changes, increased incidence of deformities related to osteoporosis, dry with less subcutaneous fat makes the skin at greater risk fir damage, slower wound healing, increased risk for infection |
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Common complications of patients with obesity and surgery |
Obese pt's is often malnourished because of an imbalanced diet, obesity increases the risk for poor wound healing because of excessive adipose tissue, stresses the heart and reduces the lung volumes which can affect the surgery and recovery, obese pt's need higher/larger doses of drugs and may retain them longer after surgery |
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Who is responsible for getting informed consent? |
Surgeon |
