Term
| 3 critical assessments that the RN will need to make before pt. goes in to surgery |
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Definition
| Breath sounds, heart sounds, signs of infection |
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Term
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Definition
Assessing the pt.
Easing the pts. anxiety
Educating the pt.
Preparing the pt. for surgery |
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Term
| 7 things a nurse needs to ensure are complete prior to surgery |
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Definition
1: Pre-op labs, x-rays, etc.
2: Verify consent forms are signed
3: IV started
4: Pt. undressed and in a gown
5: Pt. values are taken care of
6: Surgical site marked
7: Verify NPO status |
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Term
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Definition
On-going assessment of pt.
emotional support
correct positioning of the pt.
specific monitoring of the pt. response and sterilization
Coordinating cares
Saftey and privacy of the pt. |
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Term
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Definition
| Everything and everyone stops once surgery is ready to begin. Everyone on the team makes sure this is the right pt. right body part and everything we need is there. |
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Term
| EBP regarding antibiotics |
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Definition
- Given antis w/in 60 mins before the incision is made
- Discontinued after 24 hrs. of administration |
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Term
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Definition
1: Local
2: Moderate/conscious
3: Regional
4: General |
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Term
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Definition
Numbs an isolated area.
EX: tooth procedure or a cut |
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Term
| Conscious/Moderate Anesthesia |
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Definition
When pt. is basically asleep but the nurse can arouse you.
Pt. is still breathing on own
Usually have to have a special education for this one
EX: colonoscopy |
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Term
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Definition
A bigger area than a cut that we want to make numb
EX: the lower extremities |
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Term
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Definition
Loose reflexes and cannot maintain an open airway.
We have to intubate the pt. and breath for them with ventilator |
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Term
| Top priorites in the PACU |
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Definition
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Term
| When can the Pt. leave the PACU? |
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Definition
We depend on the ALDRETE SCORE.
Can usually discharge when pt. scores 9-11/11 |
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Term
| Aldrete Score consists of 5 things... |
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Definition
Respiration
02 sat
Consciousness
Circulation/ blood pressure
Activiy/ movement |
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Term
| A nurse must take vital signs every ______ minutes on a pt. who has just been released from surgery |
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Definition
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Term
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Definition
For pts. with extremley low respirations.
Works very fast to increase breathing
Reverse effect of opioids |
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Term
| Some Post-op needs that a nurse needs to help/watch for in the pt. |
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Definition
| Dressings, tubes, urination, mobility, teaching, emotional support, rest |
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Term
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Definition
| Respiratory, Circulatory, GI, GU, wound, and infection |
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Term
| Special Considerations in the Elderly |
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Definition
| Less tolerant of fluid changes, more prone to infection, more fragile skin, increase risk of cognitive effects, may be on prior meds or have other medical conditions that need to be concerning |
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