Cut Me Open Help Me Heal Send Me Home Help I’m Dying Add It Up 1pt 1 pt 1 pt 1pt 1 pt 2 pt 2 pt 2pt 2pt 2 pt 3 pt 3 pt 3 pt 3 pt 3 pt 4 pt 4 pt 4pt 4 pt 4pt 5pt 5 pt 5 pt 5 pt 5 pt
Ectomy, Otomy, Plasty, Lysis
What are suffixes for types of surgical Procedures?
If I don’t tell you that I am taking this substance before surgery, then I may shake, rattle, and roll after surgery
What is Alcohol (ETOH)?
It is my responsibility to explain the surgical procedure, risks, benefits, and complications to the patient to get informed consent
Who is the Surgeon?
Patient Safety in the OR My role includes assuring Patient Safety in the OR and responsible for Documentation
Who is the Circulating Nurse?
Retention bridge (bars) Absorbable sutures Non-absorbable Staples Retention bridge (bars) Steri-strips
What are types of Skin Closures?
Monitor my O2 Saturation, color, respirations, and EMV score to prevent this post operative complication
What is Hypoxemia or Hypoventilation?
Early Ambulation Incentive Spirometer Flutter Valve
What are measures to increase deep breathing or prevent pneumonia?
Redness and tenderness in the calf area
What is a Deep Vein Thrombosis?
Heparin 5000 units administered subcutaneously
What is the medication given to prevent a DVT?
See distention, absent bowel sounds, diffuse abdominal discomfort, no flatus, no stool.
What is a Paralytic Ileus?
Call for a temperature above 101.5 Watch for redness or draining Take pain medications as needed
What are Discharge Instructions?
This person is obese, had abdominal surgery and is a Diabetic
Eleanor M. Savko 5/7/2018 Who is at Risk For Wound Dehiscence?
Systematic process for preparing the patient to leave the healthcare setting and maintaining continuity of care
What is Discharge Teaching?
Assess patient’s needs Identify problems Develop mutual goals, short and long term Coordinate home services TEACHING
What is the Role of the Nurse In Discharge Planning?
Lack of Understanding of Reasons include Cost Dissatisfaction Lack of Understanding of Healthcare Plan
Against Medical Advice What are Reasons A Patient May leave Against Medical Advice (AMA)
Life expectancy less than 6 months Focus is on Symptom Management and family guidance
What is Hospice Care?
Restlessness Anorexia Dyspnea Nausea/Vomiting Secretions
What are End of Life Symptoms?
Patient is unaware of terminal state, whereas others are aware
What is Closed Awareness?
Breathing Pattern seen here:
What is CHEYNE STOKES?
Use Haldol Phenergan Zofran Reglan Scopolamine
What are Medications for Nausea, Vomiting, and Anorexia?
D5 ½ NS to run at 80ml/hr. Tubing labeled 15gtts/ml.
What is 20 ml’s?
1000 D51/2 NS with 40 meq KCL over 12 hours. Rate on pump?
What is 83 ml/hr?
to receive Ampicillin 10mg/kg. How many mg? 130 pound patient to receive Ampicillin 10mg/kg. How many mg?
What is 590 mg?
Give: 250,000 units Penicillin IV Have: 1,000,000 units/10ml. How many ml’s
What is 4ml’s?
Adriamycin (Doxorubicin) 75mg/mc2. (BSA 1.65)
What is 123.8mg