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Flashcards in The Surgical Patient Deck (10)
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1

The Patient Care Partnership (5)

-replaces the patients bill of rights
-plainer language
-patient needs to be involved
-patient is consumer of goods
-patient is primary decision maker

2

The Patient Care Partnership sets the standard for (5)

-high quality patient care
-clean safe environment
-involvement in healthcare
-protection of privacy
-help when leaving hospital
-help with billing claims

3

Patient Basic Needs (6)

For patient, surgery is physical, social, psychological, spiritual event

-nutrition
-sleep
-regulation of body process
-fluid balance
-respiration
-elimination of waste

4

Self-Actualization of patient (3)

-patients rights
-participation in establishing goals
-decision making about healthcare

5

Preoperative Preparation of the Patient

-medical history and physical exam
-lab tests: H&H, BUN, CBC, UA, Type and cross match
-chest xray
-ECG/EKG (electro cardiogram)
-Diagnostic procedures
-NPO
-Oral medications

6

Lab Test: BUN

Blood Urea Nitrogen (BUN)
-kidney function
-value 8-18mg
-Increased BUN: dehydration, deceased kidney function, GI bleed

7

Lab Test: CBC

Complete Blood Count (CBC)
-RBC 4.2-6.2 million/mm, decrease means possible anemia
-WBC 5000-10000 million/mm, elevation indicates infection

8

Preoperative Preparation of the Patient (9)

-oral medications
-hair removal, skin prep, preoperative hygiene
-nail polish, acrylic nails are removes
-jewelry
-sedatives
-dentures
-voiding/catheterization
-levin tube (inserted into stomach)
-basal line vital signs

9

Preoperative Preparation of the Patient pt2 (8)

-hospital attire
-IV fluid to maintain fluid balance
-bowel prep
-communication barriers
-personal belongings
-prosthetics
-body piercings
-patient expression of death (surgeon immediately notified)

10

Critical Readiness For Discharge (12)

-vital signs
-respiratory status
-reflexes
-mental status
-bleeding
-circulation
-pain
-nausea/vomiting
-oral intake
-voiding
-anesthesia considerations
-ambulation