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Interventions Test 2 > Intra-Op & Post-Op > Flashcards

Intra-Op & Post-Op Flashcards

(49 cards)

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1
Q

role of intraoperative nurse (4)

A

1) provide emotional support
2) ensure safe environment & prevent injury
3) maintain asepsis (ESP in wound/surgical site)
4) promote wound healing

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2
Q

role of circulating nurse (RN)

A
  • documents procedure on computer, calls for X-rays, ppl sterile
  • manages care
  • ensures safety
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3
Q

role of scrub nurse (RN or LPN or Scrub tech)

A
  • think/anticipate what surgeon might need
  • “scrubs in”
  • instruments & equipment COUNT
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4
Q

Intra-operative Nursing;

Assessment

A
  • TIME OUT
  • verification of client
  • necessary documentation (allergies, labs, vitals)
  • client comfort
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5
Q

Grounding pad used for what

A

-help prevent risk of pt getting burned

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6
Q

intra-operative nursing interventions

A
  • monitor vital signs
  • safety
  • needle & sponge count
  • maintain surgical asepsis
  • monitor skin on grounding pad
  • client positioning to prevent injury
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7
Q

intra-operative nursing interventions cont.

A
  • *monitor for malignant hyperthermia**
  • genetic (autosomal)
  • jaw muscle rigidity
  • ventricular dysrhythmia
  • tachypnea
  • cyanosis
  • unstable BP
  • increase in body temp
  • LIFE THREATENING
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8
Q 
general anesthesia (steps 4)
-will come back through the stages
A
  • beginning
  • excitement
  • surgical phase
  • medullary depression
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9
Q

stage 1 of general anesthesia

A

1) beginning

just got meds, just going under

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10
Q

stage 2 of general anesthesia

A

2) excitement

- talk, shout, cry, laugh

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11
Q

stage 3 of general anesthesia

A

3) surgical phase
- light / deep anesthesia
* WHERE THEY START INCISION*

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12
Q

stage 4 of general anesthesia

A

4) medullary depression

- BAD!!

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13
Q

what is the last sense to leave & the first to come back

A

HEARING

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14
Q

2 general anesthesia types

A

1) intravenous

2) inhalation

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15
Q

6 types of regional anesthesia

A

1) spinal
2) epidural
3) caudal
4) topical
5) local infiltration
6) block

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16
Q

spinal anesthesia

A

pushed into nervous system

ex/ suberacnoid space, abdominal

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17
Q

epidural anesthesia

A

for lower extremity surgeries

ex/ ankle, knee

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18
Q

caudal anesthesia

A

below umbilicus

ex/ lower limb, skin graph

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19
Q

topical anesthesia

A

for biopsy

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20
Q

local infiltration anesthesia

Study These Flashcards
A

litocain, root canal

21
Q

block anesthesias

Study These Flashcards
A

hit nerve bundle

ex/ breast biopsy, lymph node biopsy

22
Q

uses for regional anesthesia

Study These Flashcards
A
  • surgery below diaphragm
  • surgery on extremity
  • surface biopsies
23
Q

conscious of moderate sedation

Study These Flashcards
A
  • moderately sedated
  • drowsy but can still follow directions; respond purposefully to verbal stimuli
  • no intibation; can maintain airway

ex/ colonoscopy, breast biopsy

24
Q

____ is the responsibility of everyone in the OR suite

Study These Flashcards
A

asepsis

sutures & staples

25
immediate assessment post-op on RESPIRATORY
- check airway & monitor respiratory rate/depth - auscultate breath sounds - observe symmetrical chest expansion
26
immediate assesmnt post-op on CARDIAC
-BP & HR and rhythmn atleast every 15 min
27
immediate assessmnt post-op on NEUROLOGIC
- check pupil response | - monitor muscle strength
28
immediate assesmnt post-op on DRESSINGS
- monitor for drainage | - observe for hemorrhage or hematoma formations
29
immediate assessment post-op on PAIN
- assess for both subjective & objective manifestation of pain - administer analgesics prn
30
immediate assessmnt for renal fx post-op
-monitor urinary output (atleast 30ml/hr)
31
post-op nursing
- type of anesthesia - medications & dosages - amount of blood loss - intubated - complications
32
post-op complications: RESPIRATORY (develop within first 48hrs)
- atelectasis (collapse of alveoli) - pneumonia (lung infection: crackles) - pulmonary embolism (blood clot in lung)
33
post-op intervention for respiratory
1) cough & deep breathing q 2 hrs 2) hydration (2,000ml/day) 3) check for respiratory depression - rate & depth -> symmetry 4) sputum: yellow/green = infection 5) incentive spirometer *BREATH IN* 6) early ambulation
34
Heparin/lovanox given post-op to prevent what?
blood clots
35
Post-op complications: | Circulatory
- hemorrhage (early postop prob, call surgeon ASAP) - thromophlebetis - DVT
36
post-op interventions: | Circulatory
- leg exercises hourly - early ambulation - TEDs and SCDs (esp at night) - hydration - low-dose Heparin (lovenox) *air lock* - promote proper positioning - adequate fluid intake
37
post-op complications: | metabolic & urinary
- dehydration (skin turgor, mucous membranes) - fluid overload - difficulty voiding (void every 8 hours)
38
post-op interventions: | nutrition & hydration
-IV fluids (fluid volume deficit) -progressive dietary intake DAT: clear liquid, full liquid, soft diet
39
post-op interventions: | metabolic & elimination
- accurate I & O - asses serum electrolytes (K so <3 beat regular rhythm) - catheterize if unable to void - give fluids as soon as client tolerates
40
post-op complications: | elimination
- nausea - vomiting - paralytic ileus (motility doesn't fx normally d/t anesthesia) -> generally no bowel mvmnt - abdominal distention (w/ air, common in laproscopic surgeries)
41
nursing interventions: | gastrointestinal
- obtain order for antiemetic - bowel rest - NPO - N/G tube in stomach
42
normal bowel progression
- gradual progression w/ diet - promote ambulation & exercise - maintain fluids - foods client likes - administer fiber, stool softeners, suppositories as ordered * clear -> full -> soft diet*
43
wound care complications
- infection (3-6 days post-op) - dehiscence (wound splits open) - evisceration (organ protrusion)
44
skin and incision interventions post-op
- splinting w/ mvmnt - hydration & nutrition - abdominal binder - prevent infection
45
steps you take when evisceration happens
1) semi-fowler's position 2) notify doctor 3) cover intestine w/ sterile normal saline moist dressing 4) monitor vitals 5) prepare for surgery
46
mobility & self-care interventions
- early ambulation w/ assistance - assist with care but encourage SELF CARE - comfort & rest -> nonpharmacologic interventions along w/ pain meds
47
comfort measures post-op
- narcotics (#1) - PCA pump (set amount of dose/hour) - back rubs - imagery (bella ruth: close eyes, guided imagery) - distraction
48
psychological post-op complications
- maintain/enhance self-concept - provide privacy - maintain clients hygiene - empty drainage devices - client to discuss feelings - family support
49
home and community care post-o
- activity restrictions - incision care - dietary instructions - when to call doctor - post-op meds

Interventions Test 2 (5 decks)

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