Flashcards in Exam 1 Chapter 5 Deck (141)
An important outcomes of the psychosocial assessment.
determination of the extent and role of the patient's support network.
value and reliability of all available support systems.
level of functioning.
typical daily activities.
The effect of corticosteroids-Prednisone (Deltasone) with Anesthetics.
cardiovascular collapse if discontinued suddenly.
Tx: bolus of corticosteroid may be administered intravenously immediately before or after surgery.
Hydrochlorothiazide (HydroDiuril) effect of interaction with Anesthetics.
may cause excessive respiratory depression resulting from associated electrolyte imbalance.
Chlorpromazine (Thorazine) effect of interaction with anesthetics.
may increase the hypotensive of anesthetics.
Diazepam (Valium) effect of interaction with anesthetics
may cause anxiety, tension, and seizures with withdrawn suddenly.
Insulin effect of interaction with anesthetics
IV insulin may need to be administered to keep the blood sugar within normal range.
Erythromycin (Ery-Tab) effect of interaction with anesthetics.
when combined with a curariform muscle relaxant, never transmission is interrupted .
apnea from respiratory paralysis may result.
warfarin (Coumadin) effect of interaction with anesthetics.
increase the risk of bleeding.
effect of interaction with anesthetics
IV administration may be needed to keep patient seizure free.
Monoamine Oxidase (MAO) Inhibitors
Phenelzine sulfate (Nardil) effect of interaction with anesthetics.
may increase the hypotensive action.
Levothyroxine sodium (Levothroid) effect of interaction with anesthetics.
IV administration may be needed during the postoperative period to maintain thyroid levels.
Central core disease (CCD)
genetic disorder presents in neonatal.
muscle weakness and hypotonia and mild facial weakness.
risk the risk of developing MH-malignant hyperthermia.
Duchenne muscular dystrophy and Becker dystrophy genetic disorders.
risk for developing MH
Hyperkalemic periodic paralysis.
causes episodes of extreme muscle weakness.
associated with MH
rare genetic disorder
associated with MH.
start in at the time of PAT
continues until patient arrives in OR
extends to discharge.
what is the goal of promoting coughing?
mobilize secretions, so they can be removed.
what may occur with infective coughing after surgery?
atelectasis (collapse of the alveoli)
goal of promoting mobility postoperatively?
preventing venous stasis
promoting optimal respiratory function
what is the major purpose of withholding food and fluid before surgery (NPO)
To prevent aspiration.
goals of bowel preparation for patients undergoing abdominal or pelvic surgery? using cleansing enema or laxative
satisfactory visualization to prevent trauma.
contamination of the peritoneum by feces.
use the toilet or bedside commode to evacuate enema.
who is responsibly to relay the surgical findings and the prognosis?
when does the intraoperative phase begins and ends?
begins when patient is transferred onto the OR table and ends with admission to the PACU.
The surgical team
Registered nurse first assistant (RNFA)
Anesthesiologist and anesthetist (certified registered nurse anesthetists (CRNA)).
Responsibilities of the circulating nurse
checking and managing OR conditions
continually assessing the patient
verifying consent and ensuring documentation is correct
coordinating the team
monitoring aseptic practices
implementing fire safety precautions
accounting for all surgical counts in collaboration with scrub person.
ensuring second verification of the surgical procedure.
Responsibilities of the scrub person
performing surgical hand scrub
setting up the sterile tables
preparing sutures, ligatures and special equipment
anticipating supplies and instruments required
counting all needles, sponges as the surgical incision is closed.
Responsibilities of the registered nurse first assistant (RNFA)
providing exposure at the operative field
responsibilities of the surgeon
performing the surgical procedure
heading the surgical team
Responsibilities of Anesthesiologist, anesthetist (CRNA)
assessing the patient before surgery.
selecting the anesthesia and administering it
intubating the patient if necessary
managing any technical problems related to the administration of the anesthetic agent.
supervising the patient's condition throughout the surgical procedure.