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68 Cards in this Set

  • Front
  • Back

Amnesia

Loss of memory of an event or procedure

Analgesia

Loss of pain sensation

Anathetic

Drug used a cause complete or partial loss of sensation

Balanced Anesthesia

Use of several different types of drugs to achieve the quickest most effective anesthesia with the fewest adverse effects

General Anesthesia

Use of drugs to induce a loss of consciousness, M needs a, and algezira calmer and loss of reflects is to allow performance of painful surgical procedures

Induction

Time from the beginning of anesthesia until achievement of surgical anesthesia

Local Anesthesia

Use of powerful nerve blockers that prevent the polarization of nerve membranes, blocking the transmission of people stimuli and in some cases motor activity

Maintenance

The period from stage 3 until the surgical procedure is complete

Plasma esterase

Enzyme found in the plasma that immediately breaks down esther type local Anesthesia

Recovery

The period from the discontinuation of the anesthetic until the patient has regained consciousness, movements calmer and the ability to communicate

Unconsciousness

Loss of awareness of one's surroundings

Volatile liquid

Liquid that is unstable at Room temperature and releases vapors; Use doesn't in Hill general anesthetic usually in the form of halogenated hydrocarbon

Stage one of general Anastasia

Loss of pain sensation

Stage 2 of general anesthesia

Decreases come back to excitement common danger period, sympathetic stimulation (tachycardia, increased resp., BP changes)

Stage 3 of general anesthesia

Relaxation of skeletal muscles, loss of reflexes, pupil dilation

Stage 4 of general anesthesia

Severe CNS depression

Peripheral nerve block

Blockage of sensory/motor aspects of particular nerve for relief of pain or DX purpose

Central nerve block

Injection of anesthetic into the roots of the nerves in the spinal cord

Epidural Anesthesia

Injection of the drug into the epidural space where the nerves emerge from the spinal cord

Caudal block

Injection of anesthetic into the sacred canal below the epidural area

Spinal Anesthesia

Injection of an anesthetic into the spinal subarachnoid space

Nursing care of pts. receiving general or local anesthetic

Safety Precautions:


Preventative injury/skin breakdown


Support/reassurance to deal w/loss of sensation/mobility


Teaching


Decrease stress/anxiety

Most dangerous stage of general anesthesia

Induction of stage 2, d/t systemic stimulation

Emergency Surgery

Need done ASAP

Urgent Surgery

Needs done w/in 24 - 48 hrs

Elective Surgery

Scheduled

Exploratory Surgery

Done to rule out or confirm Dx

Ablative Surgery

Remove all of diseased or damaged tissue

Palliative Surgery

Promotes comfort and relieves discomfort

Reconstructive Surgery

Restores function

Cosmetic Surgery

Improves appearance

Who can provide consent?

Medical POA, legal guardian, parent, verbal consent for emergency

Purpose of the informed consent

Type/reason for surgery, Name of surgeon, potential outcomes color consent her blood products calmer protects all involved

What is the nurse's responsibility for consent for blood products?

Label chart, blood refusal form, bracelet on pt

Anti-arrhythmic

Impairs cardiac function during anesthesia

Antihypertensive

Risk for hypotension during surgery. May interact within anesthesia agents causing bradycardia and impaired circulation

Anticoagulant

Increased risk for bleeding

Corticoid steroid

Delays wound healing and increases risk for infection

Diuretic

Alters fluid balance and electrolytes. Especially potassium

NSAIDS

Increase risk for platelet aggregation & bleeding

Tranquilizers

Increases risk for respiratory depression

CBC Pre-Op Labs

Measures electrolytes, blood glucose, liver & renal function

Antibiotics

Decreases microbial burden of intra-op contamination

Anti-cholinergics

Decreases oral and pulmonary secretions. Prevents lower laryngeospasms and bradycardia

Anxiolytics

Controls anxiety & calms

Anti-histamine

Provide sedation and anti-emetic effects. Reduces risk for allergic reaction

Barbiturates

Provide sedation without significant cardiopulmonary depression

H2 receptor antagonist

Reduces gastric acidity

Hypnotics

Provide sedation and increases the duration of sleep

Neuroleptics

Provides sedation, anti-emetic, & anticonvulsant effects

Opioids

Provide pain relief and sedation. Induces Anastasia

Anti-emetics

Helps w/nausea

Antibiotics used 30 min prior to surgery

Cephalosporins, Clindamycin, Vancomycin

Anti-cholinergics post-op meds

(Phenothiazines) Atropine, Scopolamine, Glycopyrrolate

Anxiolytics (Benzodiazepines) post-op meds

(Drugs that end in -am or -pam)


Alprazolam


Clonazepam


Diazepam


Midazolam


Lorazepam

Anti-histamine post-op meds

Diphenhydramine


Hydroxyzine

Barbiturates post-op meds

Penotarbital


Secobrabital

H2 receptor antagonist post-op meds

Cimetidine


Ranitidine

Hypnotics post-op meds

Temazepam

Neuroleptics post-op meds

Droperidol

Opioids post-op meds

Morphine


Fentanyl


Meperidine

Anti-emetics post-op meds

Odanesteron


Phenergan


Prochlorperazine

Normal Creatinine

0.6-1.2

Normal AST and ALT

6-54

Normal Potassium

3.5-5

WBC

5,000-10,000

Platelets

150,000-450,000

Normal Glucose

70-100