Peri-Op

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Author:
jam110007
ID:
289957
Filename:
Peri-Op
Updated:
2014-11-25 12:36:07
Tags:
Peri 0p
Folders:
medsurg final exam
Description:
Peri-Op
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  1. Pre-Operative Care: When does it begin? End?
    • Begins in a discussion with their physician about an intervention. Can occur months in advanced.
    • Can also occur quick, i.e. a gun shoot wound patient
    • End right when the patient is wheeled into the OR/OR holding area
  2. Consent
    • It is the operating physicians legal responsibility to secure the informed consent signed by the patient
    • But it’s up to the nurse to ensure that before you send the patient to the operating room, that the consent form is actually signed
  3. WBC
    5,000 – 10,000
  4. Hbg
    • M – 14 - 18 G/dL
    • F – 12 - 16 G/dL
  5. Hct
    • M – 42 - 52 %
    • F – 37 47%
  6. Platelets
    150,000 – 400,000 mm3
  7. Na+
    135 – 145 mEq/L
  8. K+
    3.5 – 5 mEq/L
  9. Cl-
    98 – 106 mEq/L
  10. CO 2
    23 – 30 mEq/L
  11. BUN
    10 – 20 mg/dL

    • Deydration = inc. BUN,
    • Overhydration = dec. BUN
    • Excessive Protein = inc. BUN
    • Little protein = dec. BUN
  12. Creatinine
    • M .6 – 1.2 mg/dL
    • F .5 – 1.1 mg/dL
  13. PT
    11 – 12.5 sec
  14. INR
    1
  15. PTT
    • 30 – 40 sec
    • partial thromboplastin time. Sometimes if elevated, surgical procedure will postpone until PTT is under control
  16. Dietary Considerations Minimum Fasting
    • Old rule = NPO after 12 Midnight
    • Clear Liquids – 2 hours before procedure
    • Milk – 6 hours before procedure
    • Light meal (toast, clear liquids)– 6 hours
    • Heavy meal – 8 hours
    • Follow the institutional policy and medical orders
  17. Consent
    • Consent implies the person has been given the information necessary to understand the procedure and known/possible risks
    • Physician is legally responsible
    • RN: ensures consent for surgery has been obtained prior to any sedation
  18. Common Pre-op meds
    • Benzodiazepines
    • - Ativan, Versed, Valium
    • Opiods
    • - Morphine, Meperidine
    • H2 Blockers
    • - Zantac, Pepcid
    • Antiemetics
    • - Reglan, Zofran
    • Anticholinergics
    • - Atropine
    • Antibiotics

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