Perioperative Nursing Flashcards
(23 cards)
What does perioperative mean?
The period encompassing preoperative, intraoperative, and postoperative phases.
What are the three phases of perioperative care?
- Preoperative
- Intraoperative
- Postoperative
What is the importance of perioperative safety?
To minimize risks and complications during the surgical process.
Name the classifications of surgery by purpose.
- Ablative
- Diagnostic
- Palliative
- Reconstructive
- Cosmetic
- Transplant
- Procurement
What are the degrees of urgency in surgery?
- Emergency
- Urgent
- Elective
True or False: Minor surgery is defined as someone else’s surgery.
True
List some surgical risk factors.
- Preexisting conditions
- Health history including medical and surgical history
- Allergies
- Current medications
- Social history
Which disorders may lead to intraoperative complications?
- Chronic obstructive pulmonary disease (COPD)
- Obstructive sleep apnea (OSA)
- Asthma
- Coronary artery disease (CAD)
- Congestive heart failure (CHF)
What is included in the preoperative assessment?
- Client’s ability to care for themselves
- Caregiver skills and equipment
- Discharge needs
- Follow-up care
What are common preoperative nursing diagnoses?
- Anxiety
- Fear
- Knowledge deficit
- Ineffective coping
- Disturbed sleep pattern
What is required for obtaining informed consent?
- Type of surgery
- Name and qualifications of provider
- Statement of risks
- Likelihood of goals
- Right to refuse or withdraw
- Limitations on confidentiality
What is a ‘TIME OUT’ in the surgical context?
A verification process with all members to ensure correct patient, procedure, and site.
What are the types of anesthesia?
- General
- Conscious sedation (Moderate sedation)
- Regional
- Local
What does general anesthesia do?
Produces rapid unconsciousness and loss of sensation.
What is the role of the intraoperative nurse?
- Assessment of consent and client condition
- Administering medications
- Skin preparation
- Positioning
- Monitoring and documentation
What is the focus of postoperative care?
Recovery from anesthesia and prevention of complications.
List some potential postoperative complications.
- Nausea/Vomiting
- DVT
- PE
- Fluid Imbalances
- Atelectasis
- Infection
- Dehiscence
- Evisceration
- Ileus
- Oliguria/AKI
What should postoperative teaching reinforce?
Preoperative teaching and ensure understanding of discharge instructions.
Fill in the blank: The first postoperative phase is focused on _______.
Recovery from Anesthesia
What is a key aspect of pain management in postoperative care?
Should be individualized and collaborative.
What is the goal of recovery in the second phase of postoperative care?
To facilitate healing and prevent postoperative complications.
What is the importance of monitoring vital signs in PACU?
To ensure patient stability and recovery from anesthesia.
What should be included in the PACU nursing care initial assessment?
- Focused assessment at bedside
- Vital signs monitoring
- Positioning based on procedure and anesthesia
