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14 Cards in this Set
- Front
- Back
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Pre Op Teaching
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What the experience will be like for the patient
Whats going to happen When Where how |
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Pre Op teaching for POST op experience
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Deep breathing and coughing exercises (Esp thoracic or abdominal surgeries)
Post Op pain management Post Op mobility |
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General Anesthesia
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IV or Inhalent
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Inhalent Anesthesia
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Can cause coughing, laryngospasm, bronchospasm, increased secretions, R depression
Sore throat Dental Damage Laryngeal edema and spasm |
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Antiemetics
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Prevent nausea and vomiting associated with anesthesia
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Local and Regional Anesthesia
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Regional- Spinal/epidural
Local- lidacaine |
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Regional nerve block
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Injection of agent into the nerve (usually brachial, femoral)
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Conscious Sedation
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IV depressed LOC without impairing pt ability to maintain airway
W Colonoscopies reversal Narcan |
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Catastrophic Events in the OR
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Anaphylactic Reactions
Malignant Hyperthermia |
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Malignant Hyperthermia
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Hyperthermia and skeletal muscle rigidity
can cause death occurs during procedure usually post op Family hx? |
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When PT comes to PACU
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Vital signs Q15min
ABC Extubated Breathing LOC? Post delerium? |
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Post OP Hypoxemia
Post OP Pulmonary Edema Post OP Aspiration |
Changes from baseline Pa02 <60 mmHg
Second to fluid overload Aspiration |
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POST OP
Laryngospasm and Bronchospasm Hypoventilation |
Increase in Smooth muscle tone causing closure of small airways (asthma of the throat)
Caused by depression of central respiratory drive (Increased PaC02) |
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Antidiuretic Hormone Secretion
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Increased immediate POSTOP period
Administer fluids with caution Avoid fluid overload |
