Kaplan LVN

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Author:
Anonymous
ID:
116013
Filename:
Kaplan LVN
Updated:
2011-11-10 22:36:05
Tags:
VN 161 Surgery
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  1. opioids effects
    decrease anxiety, promote sedation
  2. Anticholinergic effects
    decrease secretions
  3. Antimemetic effects
    control nausea & vomiting
  4. categories of surgery
    minor; major; emergency; urgent; required; elective; optional
  5. Reasons for surgery
    Exploratory; ablative/curative; transplant; pallative; cosmetic/reconstructive
  6. Surgical Risk Factors
    Age; Nutritional status; medication use; substance abuse; medical problems
  7. Surgical Nursing Objectives
    • Prepare client physically/mentally for surgery
    • Make stay as short as possible w/ least discomfort
    • Prevent surgical and post op complications
    • Provide discharge teaching
  8. Pre Op Assessment
    • Pt Hx: symptoms; surg hx; family hx; dietary hx; med hx; allergies; psychosocial hx
    • Physical Exam: Gen appear; v/s; wt; ht; head-toe assessment
  9. Pre Op Test
    • RBC
    • Hemocrit
    • Hemoglobin
    • WBC
    • Platelet count
  10. CBC
    • WBC; RBC; HgB; HCT; MCV; MCH; MCHC; RDW; Platelet
    • WBC Differential: neutrophils; lymphocytes; monocytes; eosinophils; basophils
    • RBC Morphology: states size, shape, color, normal count, normal quantity
  11. RBC
    • Men: 4.5-6 million cells
    • Women: 4-5.5 million cells
  12. WBC
    4,000-11,000 cells/mm
  13. hemoglobin (Hgb)
    Oxygen attached to RBC
    • Men: 14-18 g/dl
    • Women: 12-16 g/dl
  14. Hct
    Hemocrit
    % of RBC
    • Male: 42% - 52%
    • Female: 37% - 47%
  15. Platelet count
    130,000-440,000 cells
  16. Chloride
    98-106 mEq/L
  17. Albumin
    3.5-5 g/dl
  18. Blood Urea Nitrate
    BUN
    10-20 mg/dl
  19. Bilirubin
    • Total: 0.3-1 mg/dl
    • Indirect: 0.2-0.8 mg/dl
    • Direct: 0.1-0.3 mg/dl
  20. Carbon Dioxide
    23-30 mEq/L
  21. Creatine
    0.5-1.2 mg/dl
  22. Glucose
    <110 mg/dl
  23. Alkaline Ploshatase
    30-120 units
  24. Alkaline Plosphatases
    ALP
    30-120 units/ L
  25. Potassium
    K+
    3.5-5 mEq/L
  26. Sodium
    Na
    136-145 mEq/L
  27. Calcium
    9-10.5 mg/dl
  28. AST
    0-35 units/L
  29. PT
    11-12.5 sec
  30. PTT
    clotting time
    60-70 sec
  31. ABT
    • PH
    • HCO2
    • PO2
    • O2: 95-100
  32. Urinalysis
    • Amylase 6.5-48.1 u/hr
    • Calcium 100-250 mg/day
    • Chloride 110-250 mEq/day
    • Creatine 85-135 ml/min
    • Magnesium 5-10 mEq/day
    • Potassium 25-100 mEq/L/day
    • Sodium 40-220 mEq/L/day
    • Uric Acid 250-750 mg/day

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