periop - Answers includes preop, intraop, and postop
preop - Answers begins with decision to have surgery, lasts until pt is transferred to the
operating room or procedural bed, consent must be given to whoever gives surgery as the nurse
witnesses
make sure good hygiene and NPO status
teach client about recovery
nurse completes checklist
intraop - Answers begins when the pt is transferred to the OR bed until transfer to the post
anesthesia care unit (PACU)
monitor VS, safety, pt positioning
evaluation is ongoing
postop - Answers lasts from admission to recovery room to complete recovery from surgery
and last follow-up physician visit
urine output - Answers at least 30 mL per hour
elective - Answers surgery that is least urgent, non-life threatening such as a chin tuck
urgent - Answers surgery that is not emergent but is necessary, can be done within a week or so
emergent - Answers surgery that is life threatening and needs to be done immediately
diagnostic (exploratory) - Answers surgery for the purpose of getting biopsy and looking for
problem such as and endoscopy
ablative - Answers surgery for the purpose of removing a diseased body part
palliative - Answers surgery for the purpose of trying to relieve pain, eliminate distress such as a
nerve block or tumor debunking
reconstructive - Answers surgery for the purpose of changing how something looks such as a
boob job
transplant - Answers surgery for the purpose of transferring tissue from one person to another
constructive - Answers surgery for the purpose of reconstructing something that is not there
such as congenital abnormalities
HCG - Answers test for pregnancy
,CBC (complete blood count) - Answers a set of tests that include all WBC (infection), RBC
(hemoglobin and hematocrit is 1:3 ratio) and platelets (bleeding)
RBC - Answers Men: 4.6-6.2 million/mm3
Women: 4.2-5.4 million/mm3
hemoglobin - Answers Male: 13-18 g/dL
Female: 12-16
oxygen carrying molecule on RBC
hematocrit - Answers Men: 42-52%
Women: 35-47%
WBC - Answers 4,500-11,000/mm3
platelets - Answers 150,000-400,000/mm3
sodium - Answers 135-145 mmol/L
potassium - Answers 3.5-5.0 mmol/L
chloride - Answers 95-105 mEq/L
bicarb - Answers 22-26 mEq/L
glucose - Answers 70-110 mg/dL
creatinine - Answers 0.7-1.4 mg/dL
measures renal function
BUN (blood urea nitrogen) - Answers 10-20 mg/dL
measures renal function
(Prothrombin Time) PT - Answers 9.5-12 seconds
test of the ability of blood to clot
(International Normalized Ratio) INR - Answers 0.76-1.27 (when not anticoagulated)
2-3 (when anticoagulated)
(Activated partial thromboplastin time) aPTT - Answers 20-39 seconds
measure IV heparin
, Anti-factor Xa Assay - Answers 0.3-0.7 units/mL
expensive coagulation study
anxiety - Answers fix by providing information and knowledge to a patient before the surgery
informed consent - Answers legal element where surgeon explains the procedure, risks,
alternatives, who is involved, and complications
nurse verifies this is complete (signed by pt and surgeon), nurse can sign as witness for pt who
can not sign for themselves, advocate
general - Answers type of anesthesia that is the administration of drugs by inhalation or IV route,
most potent, effects the entire body, administered by anesthesiologists or nurse anesthetist,
relaxes ms, diminishes reflex and CNS, can cause bronchospasm or airway problems
moderate sedation/analgesia (conscious sedation) - Answers type of anesthesia used for short-
term, minimally invasive procedures, administered by specially trained nurses, oral surgeon (do
not need to be anesthesiologist), causes amnesia, pt relaxes, cooperatives, airway not disturbed
regional - Answers type of anesthesia injected near a nerve or nerve pathway or around
operative site (ex nerve block and epidural), administered by anesthesiologists or nurse
anesthetist, acts locally to cause less complications, can be PO, causes hypoTN, provides
analgesia below injection on spine
topical and local - Answers type of anesthesia use on mucous membranes, open skin, wounds,
and burns, dentists use, can be combined with other types of anesthesia
induction - Answers first phase of general anesthesia from administration of anesthesia to
ready for incision, mask on, breaths in, from awake to asleep
maintenance - Answers second phase of general anesthesia from incision to near completion of
procedure, stay asleep
emergnece - Answers last/third phase of general anesthesia starts when pt emerges from
anesthesia and is ready to leave operating room, pt wakes up
endotracheal tube (ET tube) - Answers tube that goes into trachea during general anesthesia
that causes sore throat, reason for pt being NPO to prevent aspiration
circulating nurse - Answers intraoperative RN that manages care and ensures safety, helps,
directs, and coordinates
scrub person - Answers intraoperative RN, LPN, or scrub tech that "scrubs in" (sterilizes) and
assists surgeon with instruments and equipment, must know surgery, prepare table
count - Answers together the circulating nurse and scrub person are responsible for this to