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