Term
| informed consent what is the surgeons duty |
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Definition
o Need for the procedure in relation to the diagnosis
o Description and purpose of the proposed procedure
o Possible benefits and potential risks
o Likelihood of a successful outcome
o Alternative treatments or procedures available
o Anticipated risks should the procedure not be performed
o Physician’s advice as to what is needed
o Right to refuse treatment or withdraw consent |
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Term
| nurses role in the informed consent |
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Definition
o Witnesses the patient’s voluntary signature
o Document patient’s level of understanding, refusal to receive information, or reluctance to have procedure done |
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Term
• Void
• Remove dentures /contacts)
• Cosmetics
• Jewelry
• Surgical gown, remove underwear
• ID and allergy bands
• Identify/mark body part (e.g right leg)
• Review chart for required documentation: consent, H & P, labs, etc |
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Definition
| befor transportation to surgery |
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Term
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Definition
| supine position for surgery |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| : monitor for respiratory and cardiac effects |
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Term
o Inhalation agents
• sevoflurane (Ultane
used during general anesthesia what are the COMPLICATIONS |
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Definition
| coughing, laryngospasm, bronchospasm, INCREASED secretions |
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Term
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Definition
| assess site, monitor infusion, monitor return of sensation and motor function |
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Term
• Regional/Local Anesthesia
SPINAL |
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Definition
| : monitor for hypotension from vasodilation; headache from CSF loss; patient safety with impaired function and sensation |
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Term
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Definition
• Start pain med in anticipation of block wearing off
• Patient safety with impaired function and sensation |
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Term
| • Conscious/Procedural Sedation |
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Definition
| monitor respiratory/oxygenation status, VS, safety, complications of procedure |
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Term
| POSTOP PHASE INITIAL ASSESSMENT |
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Definition
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Term
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Definition
o Easily aroused, oriented
o Vital signs stable
o Temp > 96.8
o Pain and nausea controlled
o No excess bleeding or drainage
o O2 saturation > 90% |
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Term
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Definition
| affect rate and depth of respirations |
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Term
| Narcotics for severe pain |
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Definition
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Term
| HYPOTHERMIA UP TO 12 HOURS |
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Definition
ANESTHESIA
LOSS OF BODY HEAT DURING SURGERY |
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Term
| INCREASED TEMP 24-48 HOURS POST-OP |
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Definition
INFLAMMATORY RESPONSE
LUNG CONGESTION
ATELECTASIS |
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Term
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Definition
INFECTION
WOUND URINARY
RESPIRATORY |
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Term
| ANTIEMETICS BEFORE VOMITING STARTS INCLUDE |
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Definition
• ondansetron (Zofran)
• promethazine (Phenergan) |
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