Exam 3: Perioperative Flashcards Preview

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Flashcards in Exam 3: Perioperative Deck (13):
1

Asprin before surgery

Should be stopped a weak prior (bleeding problems)

2

Diagnostic tests pre-op (5)

- CBC
- CXR
- EKG
- UA
- Chemistries

3

Pre-op: When should patient be NPO?

6-8 hours before surgery
Clear liquids ok until 2 hours before

4

Pre-op: When should infants be NPO?

Can have breastmilk 4 hours before

5

Pre-op medications given (3 categories)

- Anticholinergics
- Opiates
- Tranquilizers / anxiolytics

6

Anticholinergics given pre-op (2)

Atropin, Robinul

7

Opiates given pre-op (2)

Morphine, demerol

8

Tranquilizers / anxiolytics given pre-op

Versed, valium

9

How often should you assess a post-op patient?

- First hour: Q15 minutes
- Next 2 hours: Q30 minutes

10

#1 post-op nursing intervention

Maintain a patent airway

11

Most common post-op complications: Fluids (4)

o Atelectasis
o Pneumonia
o Shock
o Urinary Retention
o Dehiscence-Evisceration

12

Most common post-op complications: Circulatory (3)

o Pulmonary Embolus
o Shock
o Deep Vein Thrombosis (DVT)

13

Most common post-op complications: GI (2)

o Paralytic Ileus
o N/V