Surg Tech 102--Chapter 13 Flashcards Preview

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Flashcards in Surg Tech 102--Chapter 13 Deck (57):
1

When are patients admitted to the PACU?

Immediately after surgery

2

Once all monitoring devices are in place and the patient is stable, the circulating nurse performs a _____ to the PACU nurse.

handover (also called a hand-off)

3

The circulating nurse provides _____ to update the PACU nurse on the patient's _____ before and during surgery.

all information needed
physiological status

4

True or False: The circulating nurse and ACP remain with the patient until the handover is complete.

True

5

The following information is provided during the handover:

-A brief patient history
-The exact surgery performed (including side and site)
-Total length of time anesthesia was delivered and the drugs given (amounts and routes are also given)
-Estimated blood loss and the amount and type of IV fluids or blood administered. (Type and amount of blood is reported)
-Condition of the wound, drain, and other devices
-ASA score
-Any surgical or medical complications that occurred during surgery
-Information about family members who may be waiting

6

After accepting the handover, the PACU nurse performs a _____.

patient assessment

7

The PACU nurse's assessment can be either a _____ or a _____.

focused assessment
head to toe assessment

8

Focuses on specific criteria, such as respiration, circulation, pain, and level of consiousness

focused assessment

9

The assessment that covers all or most body systems.

head to toe assessment

10

The airway is assessed by _____.

auscultation

11

When checking the respiratory system, the respiratory _____ and _____ are measured

rate and rhythm

12

What is perfusion?

The flow of blood to tissue

13

How is perfusion measured?

pulse oximeter

14

The color of the patient's skin is checked for _____.

hypoxia

15

What is hypoxia?

inadequate oxygen to tissues

16

The heart is monitored for rate and rhythm using _____.

ECG and cardiac monitor

17

What are arterial blood gases (ABG)?

The ratio of oxygen to carbon dioxide and the blood pH

18

What is a serious post-op complication?

hypothermia

19

The abdomen is assessed for _____.

distention

20

How is the abdomen assessed for distention?

observation, palpation, and radiographs

21

Bowel sounds are assessed by _____.

auscultation

22

A persistent lack of bowel sounds may indicate surgical _____.

paralytic ileus

23

What is surgical paralytic ileus?

Cessation of peristalsis in the bowel leading to obstruction

24

The patients level of consciousness is assessed using the _____.

Glasgow Coma Scale (GSC)

25

What are the three categories of the GSC?

-Eye opening
-Best verbal response
-Best motor response

26

What are the most frequent life-threatening postoperative complications?

respiratory problems

27

Can be related to the effects of anesthetic drugs, muscle relaxants, or fluid-electrolyte imbalance.

Inadequate ventilation

28

Inadequate intake of air and oxygen results in the accumulation of _____ in the blood.

carbon dioxide

29

Pain at the operative site is another cause of _____, resulting in low oxygen saturation.

hypoventilation

30

Most often caused by anatomical structures or by aspiration of fluids.

airway obstruction

31

Contraction of the laryngeal muscles

laryngospasm

32

This can occur whenever the larynx is irritated or stimulated by secretions, intubation, extubation, or suctioning.

laryngospasm

33

Partial or complete closure of the bronchial tubes.

bronchospasm

34

Can be triggered by airway suctioning, aspiration of fluid, or allergy.

bronchspasm

35

Inhalation of secretions or stomach contents.

aspiration

36

Associated with a weak gag reflex related to the use of narcotics, sedatives, and anesthetic agents.

aspiration

37

The collapse of the lung.

atelectasis

38

Who are particularly vulnerable to atelectasis?

smokers

39

The blockage of a pulmonary vessel by air, a blood clot, or other substance.

pulmonary embolism

40

A pulmonary embolism can result in _____.

anoxia

41

What is anoxia?

decreased oxygen to the lung tissue

42

The risk of pulmonary embolism is increased in patients with a history of _____.

deep vein thrombosis (DVT)

43

_____ can occur as a result of fluid or electrolyte imbalance.

hypotension or hypertension

44

A persistently low core body temperature (less than 98.6).

hypothermia

45

Who are most vulnerable for hypothermia?

elderly, pediatric, and frail patients

46

Can result in a longer post-op recovery period, surgical wound infection, cardiac ischemia, and reduced ability to metabolize drugs.

hypothermia

47

A rare condition that results in an extremely high core body temperature, cardiac dysrhythmia, tachypnea, hypoxia, and hypercarbia.

malignant hyperthermia (MH)

48

Potentially fatal and occurs most commonly at the time of administration of anesthesia.

malignant hyperthermia (MH)

49

Can be triggered by inhalation anesthetic and succinylcholine.

malignant hyperthermia (MH)

50

What is administered as soon as malignant hyperthermia (MH) is diagnosed?

dantrolene sodium

51

Physiological, psychological, and social conditions that serve as a measure of the patient's readiness for discharge.

discharge criteria

52

A scale that is often used to determine whether a patient is ready for discharge.

Aldrete scale

53

What does the Aldrete scale evaluate?

activity, respiration, circulation, consciousness, and oxygen saturation

54

Patient teaching is the responsibility of _____.

trained nursing personnel

55

When was the American Society of PeriAnesthesia Nurses (ASPAN) organized?

1980

56

Established standards of practice for the post-op care of diverse populations, such as pediatric, adult, and geriatric patients.

American Society of PeriAnesthesia Nurses (ASPAN)

57

What are the 4 areas ASPAN identified as specific phases of care?

-Preanesthesia phase
-Postanesthesia phase I
-Postanesthesia phase II
-Remote postanesthesia phase III