Preoperative Care | Intraoperative Care | Postoperative Care | Special Considerations | Patient Education |
---|---|---|---|---|
What is minimally invasive surgery
Procedure that use specialized instruments inserted into the body either through natural orifices or small incisions
|
What is Moderate Sedation
A form of anesthesia that involves IV administration of sedatives or analgesic to reduce anxiety and control pain during diagnostic or therapeutic procedures
|
What is hypovolemic shock
This is one of the most serious postoperative complications due to loss of circulating intravascular volume
|
What is delirium
Older patients are at a greater risk of this postoperative complication often mistaken for dementia
|
What is an incentive spirometer
The use of this breathing apparatus can achieve optimal respiratory function before and after surgery
|
What is the surgeon
Informs the patient of the benefits, alternatives, possible risks, complications and what to expect in the early and late postoperative period
|
What is Metabolic Acidosis
During anesthesia, the patient's temperature may fall and glucose metabolism is reduced which may result in this condition
|
What is hypo pharyngeal obstruction
Choking, noisy/irregular respirations and decreased oxygen saturation are signs of
|
What is the bariatric patient
This patient tends to have shallow respirations when supine increasing the risk of hypoventilation and postoperative pulmonary complications
|
What is 30 days
Patients who smoke are urged to stop how many days before surgery to significantly reduce pulmonary and wound healing complications
|
What is latex
If a patient states they are allergic to kiwi, avocado, or banana, there may also be an associated allergy to this
|
What is Trendelenburg
Special care should be taken to pad shoulder braces to avoid irreparable nerve injury, especially when the patient is placed in this position
|
What is Orthostatic hypotension
The nurse, promoting early ambulation, prepares the patient to get out of bed for the first time. The nurse knows it is important to assess for this
|
What is Anaphylaxis
This life-threatening reaction can occur anytime a patient comes into contact with a foreign substance such as medications, latex, or other substances
|
What is Protien
This nutrient allows for collagen deposit and wound healing to occur
|
What are platelets
You are reviewing the presurgery laboratory result for your 55-year-old patient admitted for total knee arthroplasty. What lab value, if low, could indicate an increased risk for bleeding?
|
What is Malignant Hyperthermia
This potential deadly genetic disorder is usually associated with administration of certain anesthetics and paralytics used during surgery
|
What is hemorrhage
The nurse is caring for a 38 year-old female who is 4 hours postoperative from a cholecystectomy. She finds her restless, mildly confused with cold, pale skin. Her VS are BP 82/64, HR 127. The nurse assess the surgical dressings and find them saturated with bright red blood. The nurse alerts the surgeon that she suspects this complication
|
What is patient advocacy
Maintaining the surgical patient's physical and emotional comfort, privacy, rights, dignity, and safety, at all times while in the OR is called
|
What is water
This nutrient is needed to maintain homeostasis and to replace fluids lost during the preoperative period
|
What is atelectasis and pneumonia
The patient informs his nurse during the preoperative history that he is a two-pack/day smoker. This alerts the nurse to which potential complication(s) during the intra and postoperative periods?
|
What is 2 inches
The surgical gown is considered sterile from the top of the cuff to what distance above the elbow
|
What is place the bed in low fowlers, instruct the patient to remain calm, and cover the protruding bowel with sterile gauze moistened with sterile saline.
A nurse on a medical-surgical unit is assisting a patient back to bed after ambulating to the bathroom. The patient is 8 hours postop from a partial bowel resection. As they near the bed, the patient becomes diaphoretic, tachypneic, and states if feels as if "something gave way." Upon assessment you see a portion of her bowel protruding. What are you three priority actions action after assisting her into bed.
|
What is a communication plan
A patient scheduled for ambulatory surgery has a history of aphasia. It is necessary for the nurse to establish what with the family prior to transport to preoperative holding?
|
What are echinacea, garlic, gingko biloba, ginseng, kava kava, St. John's wort, licorice extract, and valerian
List as many of the commonly used herbal medications that the nurse must specifically ask surgical patients about because they may adversely affect surgical outcomes
|