intra-op

Question 1

Intra-op begins when ?

Answer 1

Intra-op begins when the patient is assisted to the OR table

Question 2

Circulating nurse role:

Answer 2

Manage OR
makes sure no break in sterile procedure
patient advocate
verify paperwork
documenting
notify family
ready supplies

Question 3

Scrub nurse role:

Answer 3

scrubbing in
set up sterile field
assist surgeon
handle lab specimens
observe vital signs every 5 minutes and drainage bags

Question 4

Sedatives must be given ? min prior to surgery

Answer 4

15-20 min

Question 5

Prior to inserting NGT, give ?

Answer 5

sedative

Question 6

If pt gets too cold, what can occur?

Answer 6

metabolic acidosis

Question 7

S/S increase in temp 1 degree every 5 mins, tachycardia, dysrhythmia, hypotension, cyanosis, lock jaw

Answer 7

Malignant hyperthermia

Question 8

Stages of anesthesia - stage 1

Answer 8

1. onset-start until pt falls asleep, hearing exaggerated, cooperative but doesn’t remember, pupils still reactive

Question 9

Stages of anesthesia - stage 2

Answer 9

2. excitement-loses eye movement, ability to open/close eyes, great risk for injury, involuntary movement, sensitive to external stimuli, pupil dialated

Question 10

Stages of anesthesia - stage 3

Answer 10

3. unconscious-loss of reflexes, vitals drop, cannot hear, no pain, pupils now constricted

Question 11

Stages of anesthesia - stage 4

Answer 11

4. over sedated-respiration and cardiac failure, pupils fixed, dialated, start/stop CPR, use NARCAN if having trouble waking, resp < 10