Shared Flashcard Set

Details

Operative
Pre, Intra, Post
14
Nursing
Undergraduate 1
09/23/2013

Additional Nursing Flashcards

 


 

Cards

Term

Preoperative Goals?

4

Definition

Identify Risk Factors

Plan care for patient safety

Determine psych status

Reinforce coping Strategies

Term
Influencing Factors for Preop
Definition

Past Experience

Age

Current Health

Socioeconomic Status

Term
Surgery Common Fears
Definition

Anesthesia

Death or Disability

Disruption of Life

Mutilation

Pain

Term

Health History

6

Definition

Diagnosed Medical Conditions

Last Menstral Period

Previous Surgeries or Problems

Family Disease

Reaction to Anesthesia

Medications

Term
Drugs to Hold and When before Surgery
Definition

7 days = Plavix, Herbs, Asprin

5 days = Coumadin

3 days = NSAIDs

1 day = Lovenox/Heprin

Day of = Diuretics, MOIs, hypoglycemics, metaformin

Term
Drugs to take on Day of Operation
Definition

Antihypertensives

Beta Blockers

Calcium Channel Blockers

Anticonvulsants

Term
What types of Surgeries
Definition

Diagnostic - Determination of the presence and/or extent of pathology

Cure - elimination or repair of pathology

Palliation - alleviation of symptoms without cure

Prevention - before something happens

Exploration - determine nature or extent of disease

Cosmetic - breast redution ex. 

Term
Current Medications to ask about before surgeries
Definition

Prescription/OTC

Herbs

Vitamins

Recreational

Term
Cardiovascular Check before surgery
Definition

Baseline vitals

Bleeding/Clotting times (INR, PT, PTT)

Possible prophylactic Antibiotics

Term
Preop Resipiratory Questions
Definition

Any recent airway infections

Hx: Dyspnea, cough, hemoptysis *Must tell OR*

COPD/Asthma high risk for atelactasis and hypoxemia

Smokers to quit 6 wees before

Term
Urinary Preop Questions
Definition

Hx: Renal or urinary disease

why?

F&E imbalanes

High risk for infection

Impaired wound healing

Altered response to drugs

Term
Reproduction
Definition

*All woman assessed for pregnancy* LMP

Test performed 5 or more days after LMP

Term
Musculoskeletal Considerations for surgery
Definition

Bring any mobility aids to surgery

Report any neck or lumber spine injuries as they may affect airway and anesthesia delivery

Term
Obesity and Surgery Increased Risk for?
Definition

wound dehiscence and infection

Slower recovery/wound healing

A/R for sleep Apnea

More cardiac and pulmonary stress

 

5x more likely for

MI, UTI, DVT, Weight bias

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