Download presentation
Presentation is loading. Please wait.
Published byAvis Summers Modified over 9 years ago
1
Peri-Operative Care NURS 2016
2
Stages of the Peri-Operative Period Pre-Operative From time of decision to have surgery until admitted into the OR theatre.
3
Stages of the Peri-Operative Period Intra-Operative Time from entering the OR theatre to entering the Recovering Room or Post Anesthetic Care Unit (PACU)
4
Stages of the Peri-Operative Period Post-Operative Time from leaving the RR or PACU until time of follow-up evaluation (often as opt-patient)
5
Some Suffixes Ectomy Otomy Oscopy Pathy Rhage Oma Itis Logy Megaly Rhea Lysis Megaly
6
Some Prefixes Chole Lap Dys Cyst Lith Carcin Neo Ortho Trans
7
A Few Terms Reduction Resection Bypass Excision I & D Aspiration DVT Dehiscence Evisceration Paralytic Ileus
8
Classifications of Surgery IEmergency: immediately IIUrgent: 24-30 hours IIIRequired: need surgery in upcoming weeks IVElective: Should have VOptional: Not necessary – a choice
9
Pre-Operative Period Nursing Assessment Nutritional and Fluid Status Drug and Alcohol use Respiratory Status CV Status Other system (renal, hepatic, immune Medications Psychosocial, spiritual and cultural beliefs
10
Pre-Operative Period Nursing Interventions Teaching Physical Prep Surgical Site Nutrition and Fluids Preanesthetic Medication Psychosocial Support Reducing anxiety and addressing fears
11
Pre-Operative Period Teaching Pain management Deep Breathing and Coughing Movement and Ambulation
12
Pre-Operative Period Pre-Op Checklist (figure 18.3, page 413) Proper documentation complete Physical and chemical work-up complete Patient physically prepared Current condition
13
Intra-Operative Period Nursing Roles: Patient Advocate Scrub nurse Responsible for ‘sterile’ work Monitor sterile integrity of procedure Monitors equipment (instruments, sutures, etc) Circulating nurse Protects patient safety Monitors operating room conditions Monitors surgical team activities
14
Intra-Operative Period Stages of Anesthesia I: Beginning II: Excitement III: Surgical anesthesia IV: Medullary Depression
15
Intra-Operative Period: Achieving Anesthesia Inhalation Halothane and methoxyflurane Administered via mask or endotracheal tube Inducation and recovery quite rapid Intravenous Tranq/Sedatives Opioids Neuroleptanalgesics Dissociative Agents Barbiturates Nonbarbiturates
16
Intra-Operative Period Anesthesia is not always General Regional Blocks Local infiltration
17
Intra-Operative Period Complications Nausea and vomiting Anaphylaxis Hypoxia Hypothermia Malignant Hyperthermia DIC
18
Post-Operative Period Immediate Post-Op PACU Assist and monitor patient in post-anesthetic stage Airway, circulation, hemorrhage, nausea/vomiting Recovery Clinical Unit Discharge home
19
Post-Operative Period : Clinical Unit Primary focus Neurological status Pain management Respiratory function Circulatory function Wound care Fluid Balance Nutritional status
21
Post-Operative Period Immediate Assessment Level of consciousness Vital Signs (q15 x 2, q30,...) Wound Fluid Balance Pain
22
Post-Operative Period: Recovery: Day 1 to Discharge Preventing Respiratory Complications Relieving Pain Promoting Cardiac Function Encouraging Activity Promoting Wound Healing Maintaining Body Temp Monitoring GI Function Managing Voiding Providing Support
23
Post-Operative Period: Complications Deep Vein Thrombosis Hematoma Infection Wound Dehiscence
24
Post-Operative Period Consider the list of Nursing Diagnosis provided What nursing interventions would be appropriate
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.