Surg Tech 102--Chapter 13 Flashcards Preview

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Flashcards in Surg Tech 102--Chapter 13 Deck (57)
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1

When are patients admitted to the PACU?

Immediately after surgery

2

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)

3

The circulating nurse provides _____ to update the PACU nurse on the patient's _____ before and during surgery.

all information needed
physiological status

4

True or False: The circulating nurse and ACP remain with the patient until the handover is complete.

True

5

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
-ASA score
-Any surgical or medical complications that occurred during surgery
-Information about family members who may be waiting

6

After accepting the handover, the PACU nurse performs a _____.

patient assessment

7

The PACU nurse's assessment can be either a _____ or a _____.

focused assessment
head to toe assessment

8

Focuses on specific criteria, such as respiration, circulation, pain, and level of consiousness

focused assessment

9

The assessment that covers all or most body systems.

head to toe assessment

10

The airway is assessed by _____.

auscultation

11

When checking the respiratory system, the respiratory _____ and _____ are measured

rate and rhythm

12

What is perfusion?

The flow of blood to tissue

13

How is perfusion measured?

pulse oximeter

14

The color of the patient's skin is checked for _____.

hypoxia

15

What is hypoxia?

inadequate oxygen to tissues

16

The heart is monitored for rate and rhythm using _____.

ECG and cardiac monitor

17

What are arterial blood gases (ABG)?

The ratio of oxygen to carbon dioxide and the blood pH

18

What is a serious post-op complication?

hypothermia

19

The abdomen is assessed for _____.

distention

20

How is the abdomen assessed for distention?

observation, palpation, and radiographs

21

Bowel sounds are assessed by _____.

auscultation

22

A persistent lack of bowel sounds may indicate surgical _____.

paralytic ileus

23

What is surgical paralytic ileus?

Cessation of peristalsis in the bowel leading to obstruction

24

The patients level of consciousness is assessed using the _____.

Glasgow Coma Scale (GSC)

25

What are the three categories of the GSC?

-Eye opening
-Best verbal response
-Best motor response

26

What are the most frequent life-threatening postoperative complications?

respiratory problems

27

Can be related to the effects of anesthetic drugs, muscle relaxants, or fluid-electrolyte imbalance.

Inadequate ventilation

28

Inadequate intake of air and oxygen results in the accumulation of _____ in the blood.

carbon dioxide

29

Pain at the operative site is another cause of _____, resulting in low oxygen saturation.

hypoventilation

30

Most often caused by anatomical structures or by aspiration of fluids.

airway obstruction