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Flashcards in Preoperative Care Deck (25)
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1
Q

Ambulatory

A

Same day or outpatient (24 hours)

2
Q

Nurses Role Preop (4 things)

A

Knowledge of disorder
patients response to stress
Results of Preop tests
Identify possible risks/complications

3
Q

Nursing Assessment goals

A
Baseline data
psychologic/physiologic factors
Drugs/OTC/Herbs
cultural & ethnic factors
consent
4
Q

Patient fears

A

i. Death or disability
ii. Pain and discomfort
iii. Mutilation/alteration in body image
iv. Disruption of life functioning

5
Q

Familial diseases

A

cardiac, endocrine, malignant hypothermia

6
Q

Cardiovascular system report (3 things)

A
  1. any cardiac problems during intraoperative
  2. Use of cardiac drugs
  3. Presence of pacemaker/ICD
7
Q

Respiratory System

A

infections/chronic resp. disease

  1. COPD/asthma
  2. smokers to stop at least 6 weeks before surgery
  3. sleep apnea, obesity, airway deformities
8
Q

Nervous system

A
  1. vision/hearing loss

2. Cognitive deficits (can affect informed consent)

9
Q

GU system

A
  1. history of Renal & UTI

2. neg pregnancy tests & enlarged prostate

10
Q

iiRenal dysfunction is associated with

A
  1. Fluid and electrolyte imbalances
  2. Increased risk of infection
  3. Impaired wound healing
  4. Altered response to drugs and their elimination
11
Q

Musculoskelatal system

A

Report problems affecting neck or lumbar spine to ACP (spinal anesthesia)

12
Q

Patients with diabetes are at risk for

A

a. Hypo/hyperglycemia
b. Ketosis (when fat takes over)
c. Cardiovascular alterations
d. Delayed wound healing
e. Infection

13
Q

Pts with addison’s disease related too

A

abruptly stopping replacement corticosteroids

may need increased dose of IV corticosteroids

14
Q

Patients with history of compromised immune system or use of immunosuppressive drugs can have

A

delayed wound healing

increased risk for infection

15
Q

Immunosuppressive drugs

A

may need to be tapered before surgery

16
Q

Identify dietary habits that may affect recovery

A

caffeine

protein & vitamin deficient

17
Q

Preoperative teaching includes:

A

Sensory Info
Process teaching
Procedural teaching

18
Q

Ambulatory surgery information

A

i. Basic information before arrival
ii. Time and place
iii. What to wear and bring
iv. Responsible adult needed
v. Fluid and food restrictions

19
Q

Informed consent must include:

A
  1. Adequate disclosure
  2. Clear understanding
  3. Voluntarily given consent
  4. Diagnosis, treatments, risks, consequences, probability of success, what other options
20
Q

Surgeon is responsible for

Nurse is responsible for

A

obtaining consent

Witness signature, verify pt understanding

21
Q

Legally appointed representative of family may consent if patient is

A

i. Minor
ii. Unconscious
iii. Mentally incompetent

22
Q

Nursing management preop

A
voiding before surgery
Preop meds (60-90min before) 
i.	Benzodiazepines
ii.	Anticholinergics (decrease secretions) 
iii.	Opioids (pain) 
iv.	Antiemetics (nausea/vomiting) 
v.	Antibiotics
vi.	β-Adrenergic blockers (β-blockers) (history of hypertension/cardiac disease)
23
Q

Culturally competent care

A
  1. Patient’s expression of pain
  2. Family expectations
  3. Ability to verbally express needs
  4. Decision making
24
Q

Nursing assessment: exams enable ACP to

A
  1. rate pt for anesthesia admin

2. indicator of preop risks & overall outcome

25
Q

On exams go through:

A

Complete PE
Document relevant findings & share with periop team
lab tests
blood glucose for diabetics