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68 Cards in this Set
- Front
- Back
Amnesia |
Loss of memory of an event or procedure |
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Analgesia |
Loss of pain sensation |
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Anathetic |
Drug used a cause complete or partial loss of sensation |
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Balanced Anesthesia |
Use of several different types of drugs to achieve the quickest most effective anesthesia with the fewest adverse effects |
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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 |
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Induction |
Time from the beginning of anesthesia until achievement of surgical anesthesia |
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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 |
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Maintenance |
The period from stage 3 until the surgical procedure is complete |
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Plasma esterase |
Enzyme found in the plasma that immediately breaks down esther type local Anesthesia |
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Recovery |
The period from the discontinuation of the anesthetic until the patient has regained consciousness, movements calmer and the ability to communicate |
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Unconsciousness |
Loss of awareness of one's surroundings |
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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 |
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Stage one of general Anastasia |
Loss of pain sensation |
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Stage 2 of general anesthesia |
Decreases come back to excitement common danger period, sympathetic stimulation (tachycardia, increased resp., BP changes) |
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Stage 3 of general anesthesia |
Relaxation of skeletal muscles, loss of reflexes, pupil dilation |
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Stage 4 of general anesthesia |
Severe CNS depression |
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Peripheral nerve block |
Blockage of sensory/motor aspects of particular nerve for relief of pain or DX purpose |
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Central nerve block |
Injection of anesthetic into the roots of the nerves in the spinal cord |
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Epidural Anesthesia |
Injection of the drug into the epidural space where the nerves emerge from the spinal cord |
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Caudal block |
Injection of anesthetic into the sacred canal below the epidural area |
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Spinal Anesthesia |
Injection of an anesthetic into the spinal subarachnoid space |
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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 |
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Most dangerous stage of general anesthesia |
Induction of stage 2, d/t systemic stimulation |
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Emergency Surgery |
Need done ASAP |
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Urgent Surgery |
Needs done w/in 24 - 48 hrs |
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Elective Surgery |
Scheduled |
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Exploratory Surgery |
Done to rule out or confirm Dx |
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Ablative Surgery |
Remove all of diseased or damaged tissue |
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Palliative Surgery |
Promotes comfort and relieves discomfort |
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Reconstructive Surgery |
Restores function |
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Cosmetic Surgery |
Improves appearance |
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Who can provide consent? |
Medical POA, legal guardian, parent, verbal consent for emergency |
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Purpose of the informed consent |
Type/reason for surgery, Name of surgeon, potential outcomes color consent her blood products calmer protects all involved |
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What is the nurse's responsibility for consent for blood products? |
Label chart, blood refusal form, bracelet on pt |
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Anti-arrhythmic |
Impairs cardiac function during anesthesia |
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Antihypertensive |
Risk for hypotension during surgery. May interact within anesthesia agents causing bradycardia and impaired circulation |
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Anticoagulant |
Increased risk for bleeding |
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Corticoid steroid |
Delays wound healing and increases risk for infection |
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Diuretic |
Alters fluid balance and electrolytes. Especially potassium |
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NSAIDS |
Increase risk for platelet aggregation & bleeding |
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Tranquilizers |
Increases risk for respiratory depression |
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CBC Pre-Op Labs |
Measures electrolytes, blood glucose, liver & renal function |
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Antibiotics |
Decreases microbial burden of intra-op contamination |
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Anti-cholinergics |
Decreases oral and pulmonary secretions. Prevents lower laryngeospasms and bradycardia |
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Anxiolytics |
Controls anxiety & calms |
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Anti-histamine |
Provide sedation and anti-emetic effects. Reduces risk for allergic reaction |
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Barbiturates |
Provide sedation without significant cardiopulmonary depression |
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H2 receptor antagonist |
Reduces gastric acidity |
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Hypnotics |
Provide sedation and increases the duration of sleep |
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Neuroleptics |
Provides sedation, anti-emetic, & anticonvulsant effects |
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Opioids |
Provide pain relief and sedation. Induces Anastasia |
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Anti-emetics |
Helps w/nausea |
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Antibiotics used 30 min prior to surgery |
Cephalosporins, Clindamycin, Vancomycin |
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Anti-cholinergics post-op meds |
(Phenothiazines) Atropine, Scopolamine, Glycopyrrolate |
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Anxiolytics (Benzodiazepines) post-op meds |
(Drugs that end in -am or -pam) Alprazolam Clonazepam Diazepam Midazolam Lorazepam |
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Anti-histamine post-op meds |
Diphenhydramine Hydroxyzine |
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Barbiturates post-op meds |
Penotarbital Secobrabital |
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H2 receptor antagonist post-op meds |
Cimetidine Ranitidine |
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Hypnotics post-op meds |
Temazepam |
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Neuroleptics post-op meds |
Droperidol |
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Opioids post-op meds |
Morphine Fentanyl Meperidine |
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Anti-emetics post-op meds |
Odanesteron Phenergan Prochlorperazine |
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Normal Creatinine |
0.6-1.2 |
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Normal AST and ALT |
6-54 |
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Normal Potassium |
3.5-5 |
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WBC |
5,000-10,000 |
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Platelets |
150,000-450,000 |
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Normal Glucose |
70-100 |