NRS,.3015,.:,.Exam,.1,.Material
,NRS,.3015,.:,.Exam,.1,.Material
, NRS,.3015,.:,.Exam,.1,.Material
Define,.preoperative,.phase:,.Begin:,.When,.the,.decision,.to,.proceed,.with,.surgival,.intervention,.is,.made,.End
:,.when,.patient,.is,.transferred,.to,.OR,.table
2. Define,.Intraoperative,.phase:,.Begin:,.when,.patient,.is,.transferred,.to,.OR,.table,.E
nds:,.with,.admission,.to,.PACU
3. Define,.postoperative,.phase:,.Begins:,.admission,.to,.PACU,.
Ends:,.follow,.up,.evaluaitaon,.in,.the,.clinical,.setting,.or,.home
4. Types,.of,.surgical,.classification:,.1.,.Reconstructive:,.may,.follow,.a,.previous,.surgery,.to,.improve,.function,.or,.
obtain,.a,.more,.desirable,.cosmetic,.ettect,.(ex.,.cleft,.lip)
2. Cosmetic:,.not,.medically,.necessary,,.used,.to,.alter,.anatomy,.and,.appearance,.(ex.,.liposuction,,.tummy,.tuck,,.facelift)
3. Palliative:,.relieve,.symptoms,.and,.imporve,.patients,.quality,.of,.life.
4. Rehabilitative
5. Degrees,.of,.urgency,.within,.surgery:,.Emergent:,.must,.be,.performed,.without,.delay,.
Urgent:,.needs,.to,.be,.done,.soon,.but,.can,.wait,.until,.patient,.is,.stable
924-30,.hours)
Required:,.needs,.to,.be,.done,,.but,.not,.necessarily,.(few,.weeks,.or,.months),.immediately,.Electiv
e:,.Pt,.should,.have,.surgery,,.but,.avoiding,.is,.not,.catastrophic
Optional:,.Decision,.rests,.with,.patient,.and,.personal,.decision
6. Preadmission,.Testing:,.Initial,.preoperative,.assessment,.before,.admission,.to,.the,.hospital
- assessment,.data
- patient,.education
- verify,.preop,.diagnostic,.testing
- preop,.therapies,.(bowel,.prep,,.etc)
- advance,.directive
- begin,.discharge,.planning,.and,.assessment
7. Preop,.Assessment:,.Assess,.and,.adress,.risk,.factors,.that,.may,.attect,.post,.op,.complications,.and,.delay,
.recovery,,.looks,.at,.underlying,.conditions,.and,.their,.ettect,.on,.the,.surgery.,.Physical,.examination
- meds,,.allergies,,.health,.history,,.nutrition,,.fluids,,.dentition,,.alcohol,,.drugs,,.respiratory,.and,.cv,.status,,.hepatic,.and,.renal,.f
unction,,.spiritual,.and,.cultural,.beliefs,,.immune,.function
, NRS,.3015,.:,.Exam,.1,.Material
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
,. ,. ,. ,. ,. ,.
9. Gerontologic,.Considerations,.for,.Preop:,.-
,.Anesthesia,.may,.precipitate,.dysregulation,.of,.older,.adults
- Low,.cardiac,.reserves
- depressed,.renal,.and,.hepatic,.function
- reduced,.GI,.activity
- assess,.condition,.of,.skin,,.bruises,,.abrasions,,.discolorations
- less,.subq,.increases,.risk,.for,.temp,.changes
- confusion,.common,,.may,.need,.further,.education,.on,.the,.surgery,.and,.process
10. Informed,.consent:,.-,.patients,.voluntary,.decision,.to,.undergo,.surgery
- legally,.required
- explains,.the,.benefits,,.procedute,,.risk,.and,.complications
- nurse,.acts,.as,.a,.witness,.to,.the,.signature
- needs,.to,.be,.signed,.before,.psychoactive,.meds
- patient,.has,.right,.to,.refuse,.surgery
11. Deep, . breathing,, . coughing, . and, . incentive, . spirometer:, . patient, . educatio
n,.post-op:,.Increased,.lung,.expansion,.and,.blood,.oxygenation,.post,.surgery
thoracic,.or,.abodminal,.incisions,.need,.to,.split,.to,.minimize,.pressure
12. Mobility,.and,.movement:,.patient,.education,.post-op:,.Improve,.circulation,,.prevent,.ve-
nous,.stasis,,.promote,.respiratory,.function.
Frequent,.position,.changes,.without,.disrupting,.IV,.or,.lines,,.special,.positions,.based,.on,.surgery,,.ROM,.for,.joints
13. Pain,.management:,.patient,.education,.post-
op:,.Ditterentiation,.between,.acute,.and,.chronic,.pain
Use,.a,.0-10,.or,.alternative,.scale,.to,.promote,.ettective,.pain,.managment
14. Coping, . strategies:, . patient, . education, . post-op:, . Anxiety,.is,.common,.but,.can,.lead,.to,.compli-
cations,.if,.left,.unresolved,.(arrythmias,,.tachycardia,,.HTN,,.increased,.pain).
,NRS,.3015,.:,.Exam,.1,.Material
, NRS,.3015,.:,.Exam,.1,.Material
Define,.preoperative,.phase:,.Begin:,.When,.the,.decision,.to,.proceed,.with,.surgival,.intervention,.is,.made,.End
:,.when,.patient,.is,.transferred,.to,.OR,.table
2. Define,.Intraoperative,.phase:,.Begin:,.when,.patient,.is,.transferred,.to,.OR,.table,.E
nds:,.with,.admission,.to,.PACU
3. Define,.postoperative,.phase:,.Begins:,.admission,.to,.PACU,.
Ends:,.follow,.up,.evaluaitaon,.in,.the,.clinical,.setting,.or,.home
4. Types,.of,.surgical,.classification:,.1.,.Reconstructive:,.may,.follow,.a,.previous,.surgery,.to,.improve,.function,.or,.
obtain,.a,.more,.desirable,.cosmetic,.ettect,.(ex.,.cleft,.lip)
2. Cosmetic:,.not,.medically,.necessary,,.used,.to,.alter,.anatomy,.and,.appearance,.(ex.,.liposuction,,.tummy,.tuck,,.facelift)
3. Palliative:,.relieve,.symptoms,.and,.imporve,.patients,.quality,.of,.life.
4. Rehabilitative
5. Degrees,.of,.urgency,.within,.surgery:,.Emergent:,.must,.be,.performed,.without,.delay,.
Urgent:,.needs,.to,.be,.done,.soon,.but,.can,.wait,.until,.patient,.is,.stable
924-30,.hours)
Required:,.needs,.to,.be,.done,,.but,.not,.necessarily,.(few,.weeks,.or,.months),.immediately,.Electiv
e:,.Pt,.should,.have,.surgery,,.but,.avoiding,.is,.not,.catastrophic
Optional:,.Decision,.rests,.with,.patient,.and,.personal,.decision
6. Preadmission,.Testing:,.Initial,.preoperative,.assessment,.before,.admission,.to,.the,.hospital
- assessment,.data
- patient,.education
- verify,.preop,.diagnostic,.testing
- preop,.therapies,.(bowel,.prep,,.etc)
- advance,.directive
- begin,.discharge,.planning,.and,.assessment
7. Preop,.Assessment:,.Assess,.and,.adress,.risk,.factors,.that,.may,.attect,.post,.op,.complications,.and,.delay,
.recovery,,.looks,.at,.underlying,.conditions,.and,.their,.ettect,.on,.the,.surgery.,.Physical,.examination
- meds,,.allergies,,.health,.history,,.nutrition,,.fluids,,.dentition,,.alcohol,,.drugs,,.respiratory,.and,.cv,.status,,.hepatic,.and,.renal,.f
unction,,.spiritual,.and,.cultural,.beliefs,,.immune,.function
, NRS,.3015,.:,.Exam,.1,.Material
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
,. ,. ,. ,. ,. ,.
9. Gerontologic,.Considerations,.for,.Preop:,.-
,.Anesthesia,.may,.precipitate,.dysregulation,.of,.older,.adults
- Low,.cardiac,.reserves
- depressed,.renal,.and,.hepatic,.function
- reduced,.GI,.activity
- assess,.condition,.of,.skin,,.bruises,,.abrasions,,.discolorations
- less,.subq,.increases,.risk,.for,.temp,.changes
- confusion,.common,,.may,.need,.further,.education,.on,.the,.surgery,.and,.process
10. Informed,.consent:,.-,.patients,.voluntary,.decision,.to,.undergo,.surgery
- legally,.required
- explains,.the,.benefits,,.procedute,,.risk,.and,.complications
- nurse,.acts,.as,.a,.witness,.to,.the,.signature
- needs,.to,.be,.signed,.before,.psychoactive,.meds
- patient,.has,.right,.to,.refuse,.surgery
11. Deep, . breathing,, . coughing, . and, . incentive, . spirometer:, . patient, . educatio
n,.post-op:,.Increased,.lung,.expansion,.and,.blood,.oxygenation,.post,.surgery
thoracic,.or,.abodminal,.incisions,.need,.to,.split,.to,.minimize,.pressure
12. Mobility,.and,.movement:,.patient,.education,.post-op:,.Improve,.circulation,,.prevent,.ve-
nous,.stasis,,.promote,.respiratory,.function.
Frequent,.position,.changes,.without,.disrupting,.IV,.or,.lines,,.special,.positions,.based,.on,.surgery,,.ROM,.for,.joints
13. Pain,.management:,.patient,.education,.post-
op:,.Ditterentiation,.between,.acute,.and,.chronic,.pain
Use,.a,.0-10,.or,.alternative,.scale,.to,.promote,.ettective,.pain,.managment
14. Coping, . strategies:, . patient, . education, . post-op:, . Anxiety,.is,.common,.but,.can,.lead,.to,.compli-
cations,.if,.left,.unresolved,.(arrythmias,,.tachycardia,,.HTN,,.increased,.pain).
