Flashcards in Surg Tech 102--Chapter 13 Deck (57)
When are patients admitted to the PACU?
Immediately after surgery
Once all monitoring devices are in place and the patient is stable, the circulating nurse performs a _____ to the PACU nurse.
handover (also called a hand-off)
The circulating nurse provides _____ to update the PACU nurse on the patient's _____ before and during surgery.
all information needed
True or False: The circulating nurse and ACP remain with the patient until the handover is complete.
The following information is provided during the handover:
-A brief patient history
-The exact surgery performed (including side and site)
-Total length of time anesthesia was delivered and the drugs given (amounts and routes are also given)
-Estimated blood loss and the amount and type of IV fluids or blood administered. (Type and amount of blood is reported)
-Condition of the wound, drain, and other devices
-Any surgical or medical complications that occurred during surgery
-Information about family members who may be waiting
After accepting the handover, the PACU nurse performs a _____.
The PACU nurse's assessment can be either a _____ or a _____.
head to toe assessment
Focuses on specific criteria, such as respiration, circulation, pain, and level of consiousness
The assessment that covers all or most body systems.
head to toe assessment
The airway is assessed by _____.
When checking the respiratory system, the respiratory _____ and _____ are measured
rate and rhythm
What is perfusion?
The flow of blood to tissue
How is perfusion measured?
The color of the patient's skin is checked for _____.
What is hypoxia?
inadequate oxygen to tissues
The heart is monitored for rate and rhythm using _____.
ECG and cardiac monitor
What are arterial blood gases (ABG)?
The ratio of oxygen to carbon dioxide and the blood pH
What is a serious post-op complication?
The abdomen is assessed for _____.
How is the abdomen assessed for distention?
observation, palpation, and radiographs
Bowel sounds are assessed by _____.
A persistent lack of bowel sounds may indicate surgical _____.
What is surgical paralytic ileus?
Cessation of peristalsis in the bowel leading to obstruction
The patients level of consciousness is assessed using the _____.
Glasgow Coma Scale (GSC)
What are the three categories of the GSC?
-Best verbal response
-Best motor response
What are the most frequent life-threatening postoperative complications?
Can be related to the effects of anesthetic drugs, muscle relaxants, or fluid-electrolyte imbalance.
Inadequate intake of air and oxygen results in the accumulation of _____ in the blood.
Pain at the operative site is another cause of _____, resulting in low oxygen saturation.