250 preop

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elevatedsound7
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230902
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250 preop
Updated:
2013-08-27 10:22:38
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preop
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preop
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  1. Informed consent is
    a disclosure of risks associated with the intended procedure or operation to the patient
  2. what is nurses role regarding informed consent?
    • witnessing the signature
    • that person is aware of disclosure of risk
  3. components of informed consent
    • - adequate disclosure of risks involved in procedure
    • - physician's advice as to what is needed
    • - pt right to refuse treatment or withdraw consent
  4. nurses role in pre-op
    • -knowledge of nature of disorder requiring surgery
    • -id pt response to stress of surgery
    • -assess the results of appropriate pre op tests
    • ***provide baseline by identifying potential risks and complications
  5. 3 phases of perioperative nursing
    • pre-op
    • intra-op
    • post-op
  6. when does pre-op period begin
    when the decision to have surgery is made
  7. pre-op phase stops when
    pt enters the OR
  8. Intra-op begins and ends
    when pt enters and exits OR
  9. post op begins and ends
    after operation and when doc releases pt
  10. AORN standards =
    standards of nursing care during the perioperative period
  11. different purposes for surgery
    diagnostic

    • explorative
    • reconstructive
    • curative
    • transplant
    • palliative
  12. different levels of urgency in surgery =
    • emergent
    • urgent
    • required
    • elective
  13. examples of curative surgery
    • appendectomy
    • gall bladder removal
    • cholescystectomy
  14. ectomy =
    removal of
  15. ostomy =
    opening into
  16. otomy =
    • incision into
    • ie thoracotomy
  17. plasty =
    surgical repair/reconstruction
  18. orraphy =
    • surgical repair or suture
    • ie hernia
  19. scopy =
    using scope to perform surgery
  20. nursing assessment in preop nursing =
    • establishes a baseline
    • evaluate and discover risks
  21. table 18-5 pg 342
    physical and functional assessment for pre op
  22. examples of risk factors in preop assessment
    • advanced age
    • obesity/malnutrition
    • poverty
    • alcoholism
    • disabilities
    • diabetes
    • cardiovascular disorders
    • pulmonary disorders
    • immune suppression
    • nicotine use
    • medication use
    • psychosocial factors
    • cultural factors
  23. shell fish is a cross allergy for what
    iodine
  24. why are environmental allergies important to know in reference to surgery
    they can have an increased sensitivity to anesthesia
  25. alcoholism risk factors in surgery
    • need more anesthesia
    • DT
    • bleed more
  26. every woman who is not menopausal gets what before surgery
    pregnancy test
  27. most important independent nursing function a nurse can do pre-op
    teaching
  28. preoperative teaching does what for patient
    • increases patient satisfaction
    • reduces fear, anxiety, stress, pain and vomiting
  29. when there is limited time for teaching you should
    • address need of highest priority
    • include info focused on safety
    • provide written material
  30. example of process information
    general information
  31. what should you prepare patient for through teaching
    • surgical events and sensations
    • surgical site prep
    • pain management
    • physical activities
    • deep breathing and coughing
    • incentive spirometry
    • leg exercises
    • turning in bed
  32. what surgeries do you not want coughing
    • eye surgeries
    • neuro
    • tonsilectomy
  33. prep of skin in pre-op =
    • may cleanse area prior to patient ariving
    • no shaving use clippers
  34. GI prep in pre-op
    • enema
    • laxative
    • both
    • no food prior
  35. genitourinary tract prep in pre-op
    • foley cath
    • void prior to sedative admin
  36. preop meds do what pre-op
    • aid in admin of anesthetic
    • minimize secretions
    • relax
    • reduce risk of infections
  37. Antibiotics given when in preop
    • 30-60 minutes before surgery
    • one dose unless longer surgery

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