Textbook Of Basic Nursing (Rosdahl) Ch. 56 Preoperative And Postoperative Care

Front 1

time span that includes preparation, process and recovery from surgery

Back 1

perioperative care

Front 2

nursing care before surgery

Back 2

preoperative

Front 3

nursing care in the OR, PAR, and PACU

Back 3

intraoperative

Front 4

nursing care after surgery

Back 4

postoperative

Front 5

can choose whether to have the surgery
plastic surgery, tubal ligation, vasectomy

Back 5

optional/elective surgery

Front 6

necessary at some time
hernia repair, prolapsed uterus, hip joint replacement

Back 6

required/nonelective surgery

Front 7

must be performed within a short period of time
removal of malignancy, inflamed appendix

Back 7

urgent/nonelective surgery

Front 8

must be performed immediately
severe internal hemorhage, ruptured appendix, angioplasty

Back 8

emergency surgery

Front 9

Fear, Deficient Knowledge, Anticipatory Grieving, Disturbed Body Image, Risk for Aspiration, Ineffective Airway Clearance, Pain, Hyperthemia, Hypothermia, Altered Tissue Perfusion (cerebral, Peripheral), Deficient Fluid Volume, Impaired Tissue/Skin Intergrity, Impaired Physical Mobility

Back 9

nursing diagnoses setablished for perioperative care

Front 10

providing emotional support
prepairing the client physically for surgery
ensuring that all legal matters (i.e. surgical consent) are carried out
ensuring that the physical exam and all lab tests are done
providing client/family teaching
providing routine pre and post operative care

Back 10

nursing interventions common to surgical procedures

Front 11

poor healing, hypostatic pnemonia, more difficult surgery, more underlying disorders likely

Back 11

risk factor of obesity

Front 12

poor healing, skin breakdown over bony prominances

Back 12

risk factor of poor nutrition, malnutrition, anorexia, bulimia

Front 13

reduced circulation

Back 13

risk factor of dehydration

Front 14

confusion, hypostatic pnemonia, dehydration and poor nutrition, poor muscle tone, inadequate diet, lack of digestive enzymes, coeisting disorders

Back 14

risk factor of old age

Front 15

lung disorders, circulatory disorders

Back 15

risk factor of tobacco use

Front 16

cardiac disorders, digestive disorders, withdrawal headaches,

Back 16

risk factor of caffeine use

Front 17

bleeding disorders, fluid retention, kidney damage, confusion and other complications

Back 17

risk factor of dependence on perscription drug

Front 18

difficulty in carrying out preoperative instructions, inability to care for onesel, inability to recognize complications, inability to return for follow-up, inadequate diet

Back 18

risk factor of lack in available caregivers

Front 19

because older adults are more suseptable to overdose due to low body weight

Back 19

use caution because height and weight are used to calculate exact dosages of narcotics and anesthetics

Front 20

baseline repsiratory assessment is important because

Back 20

older individuals are more suseptible to aspiration and hypostatic pneumonia

Front 21

mobility is important because

Back 21

early mobility helps prevent complications due to immobility, skin breakdown etc.

Front 22

client can still respond to commands with this type of sedation

Back 22

minimal

Front 23

sedation with depressed LOC, client can breath without assistance, respond to painand follow some commands, protective reflexes are maintained

Back 23

moderate

Front 24

sedation where client cannot be easily aroused, but can respond after repeated stim. respiration may need support

Back 24

deep

Front 25

IV sedatives used alone or in conjunction with a local

Back 25

conscious sedation

Front 26

older clients may react more, more quickly or opposite

Back 26

overreaction and paridoxical reaction

Front 27

complete or partial loss of sensation

Back 27

anesthesia

Front 28

anesthesia precautions

Back 28

allegies, ID band checked by 2 staff, postop vitals and pain frequently as ordered, I&O and watch for bladder distention

Front 29

Unconscious, loss of reflexes and muscle control

Back 29

general anesthesia

Front 30

pain sensations are blocked off in a limited area

Back 30

local anesthesia

Front 31

field block via injection, nerve block injecting near nerves

Back 31

conduction block

Front 32

an extensive conduction nerve block

Back 32

spinal block

Front 33

if a slow acting anesthesia is used, how will the client proceed through the stages of anesthesia?

Back 33

gradually through 3 recognizable stages, as the client wakes the stages are reversed

Front 34

reflexes present, heart rate normal, slower rate and increased depth of respiration, normal BP, some dialation adn react to light

Back 34

Stage I: Beginning anesthesia (analgesia and amnesia)

Front 35

active reflexes, increased heart rate, irregular breathing, increased BP, wide dialation and divergent

Back 35

Stage II: Dreams and excitement

Front 36

Four planes (light to deep) 3rd or 4th best for most surgery, progressive loss of reflexes, decreased heart rate, depressed resp. til apneic, decreased BP, constriced to slight dialtion and fixed

Back 36

Stage III: Surgical ansethesia