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PERI OP (Part 2) Flashcards

(63 cards)

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1
Q

from OR acceptance to PACU

A

INTRA OP

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2
Q
  • allowed all
  • door of OR
  • dressing area
  • street clothes
A

unrestricted area

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3
Q
  • hallway
  • lobby
  • scrubbing area
  • PACU/ER
  • PPE
  • recovery room
A

semi restricted area

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4
Q

ppe for semi restricted area

A

cap, mask, scrubs, shoes

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5
Q
  • PPE
  • OR gowns and gloves
A

restricted area

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6
Q

S + S =
US + S =
C + S =
C + C =

A

S + S = S
US + S = US
C + S = US
C + C = C

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7
Q

a. gown

front -
waist below -
shoulder -
back -
stockinette -

A

a. gown

front - S
waist below - US
shoulder - US
back - US
stockinette - S

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8
Q

b. gloves

outside -
inside -
puncture -
radioactive -
manufacturing material -

A

b. gloves

outside - S
inside - US
puncture - double gloves
radioactive - lead gloves
manufacturing material - rubber

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9
Q

how mask should be worn?

A

crossed

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10
Q

moisture -
doubt -
surgical conscience -
instrument -

A

moisture - US
doubt - US
surgical conscience - honesty
instrument - autoclove

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11
Q

how would you know if the instrument in the autoclave are already sterile?

A

stripe of black

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12
Q
  • boss on OR, DR, triage
  • borrowed servants rule
  • captain of the ship rule
A

surgeon

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13
Q
  • intern, md, resident
  • retracts
A

assistant surgeon

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14
Q
  • monitor v/s
  • contraptions
  • declares death of pt
A

anesthesiologist

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15
Q
  • count/check instruments
  • handover instruments
  • aftercare
  • gown and gloves surgeon and AS
A

scrub nurse

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16
Q
  • perform nursing process
  • documentation
  • countercheck instuments
A

circulating nurse

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17
Q

if rn is in ward

A

respondent superior

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18
Q

initial count

A
  • manufacturer count
  • content of package
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19
Q

base count

A

during preperation

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20
Q

final count

A

before fascia closure
before skin closure

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21
Q

counting of ins. inside the pt

A

field count

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22
Q

field count

check by:
counter check by:

A

check by: surgeon
counter check by: scrub nurse

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23
Q

table count

check by:
counter check by:

A

check by: scrub nurse
counter check by: circu nurse

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24
Q

floor count

check by:
counter check by:

A

check by: circu nurse
counter check by: scrub nurse

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25
- used on skin - dirty ins.
non critical
26
used in blood vessels
semi critical
27
used in internal organs
critical
28
anesthesia
- loss of consciousness - eyelid reflex - sensation
29
route of general anesthesia
inhalation, iv
30
ex. of general anesthesia
nitrous oxide (laughing gas)
31
side effect of nitrous gas
euphoria
32
color of tank of nitrous oxide
blue
33
insertion of spinal anesthesia
subarachnoid space
34
position in spinal anesthesia
- c shaped - fetal position - shrimp position
35
location of spinal anes
L3-L4 L4-L5
36
scope of spinal anes
xyphoid to feet
37
scope of epidural anes
umbilicus to feet
38
scope of caudal anes
buttocks to feet
39
ex. of local anes
lidocaine
40
onset/ beginning/ introduction of anesthesia
induction
41
dec. of eyelid reflex
delirium
42
actual operation loss of sensation loss of consciousness
anesthesia
43
overdose of anesthesia
medullary response
44
from PACU to follow up care
post op
45
pulse pressure
blood pressure
46
normal mmhg
30-40
47
<30mmhg
narrowed > shocked
48
> 40mmhg
widened > inc. ICP
49
normal pulse rate
0 (ap - pp)
50
inc. temp
infection
51
dec. of temp
malignant hypothermia (overdose of anesthesia)
52
inc. of RR
hypermetabolic state
53
dec. of RR
drug induced bradypnea
54
counterpart of apgar scoring
aldrette score
55
who check aldrette score
anes
56
tear of wound
dehiscence
57
popping out
evisceration
58
dec. peritalsis
constipation
59
no bowel sounds, no borborygni
paralytic ileus
60
normal borborygni sounds
5 to 30 mins per quadrant
61
prevention of DVT
early ambulation
62
4 POST OP
- vital sign monitoring - glasgow coma scale - aldrette score - complications
63
5 INRTA OP
- zones of or - principles of or - mem. of or - instrumentation - anesthesia

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