chapter 12 Questions And Answers
Why is shaving before surgery no longer recommended? - ANSWER -
Micro cuts can lead to infection.
If there is a problem with patient ID on ward, what is done? - ANSWER
-Report problem to charge nurse, DO NOT transport the patient, Inform
the O.R. of the reason for delay
How is the patient transported to the O.R.? - ANSWER -Move patients'
slowely to avoid a hypotensive episode. Transport patient feet first,
when you get to an elevator put the patient in head first so they come out
feet first.
Why is padding important to prevent nerve damage? - ANSWER -
Prolonged pressure or stretching of the perphreal nerves can result in
sensory and motor loss as well as paralysis and wasting.
How is foot drop prevented? - ANSWER -Proper padding
Trendelenburg - ANSWER -Patient is supine. Table is raised so the feet
are higher than the head; position is used to treat patients with trauma,
Low BP and for certain abdominal procedures
Reverse Trendelenburg - ANSWER -Patient is supine with head higher
than feet. used for thyroidectomy and laparoscopic cholecystectomy.
laparotomy drape - ANSWER -Abdominal procedures
, Perineal aka lithotomy drape - ANSWER -gynecological surgeries,
transperineal surgeries, prostate surgeries
CPR: Ratio of compressions to ventilations - ANSWER -compressions
to ventilations ratio is 30:2
2-person CPR on infants and children the ratio is 15:2
What are Mydratics and Cycloplegics? - ANSWER -Paralytic agents
used to dilate the pupil
What are Miotics? - ANSWER -eye drops that cause the pupil of the
eye to constrict
Myopics - ANSWER -A visual defect in which distant objects appear
blurred; nearsightedness
general anesthesia - ANSWER -a state of total unconsciousness
resulting from anesthetic drugs (as for a major surgical operation)
regional anesthesia - ANSWER -loss of sensation in an area of the body
produced by application of an anesthetic agent to all the nerves
supplying that region (as when an epidural anesthetic is administered to
the pelvic region during childbirth)
local anesthesia - ANSWER -loss of sensation in a small area of the
body
spinal anesthesia - ANSWER -anesthesia produced by injection of an
anesthetic into the subarachnoid space of the spinal cord.
, epidural anesthesia - ANSWER -this involves the injection of the local
anesthetic into an area of the spine via a catheter that allows repeated
infusions, very slowly absorbed, used in labor and delivery
how many ml in 1 ounce - ANSWER -30 ml
Which barbiturates are most frequently used in induction? - ANSWER -
Pentothal, Seconal, Nembutal, Phenobarbital
antagonist - ANSWER -a drug that neutralizes or counteracts the effects
of another drug
muscular fasciculation - ANSWER -invoulntary muscle contractions
H2 blockers - ANSWER -interfere with production of gastric acid by
patietal cells. Cimetidine (Tagament), Ranitidine (Zantac), Famotidine
(Pepcid),
sedatives - ANSWER -relieve anxiety -(Benzodiazepine) are given for
anxiety. Midazolam (Versed), Diazepam (Valium), and Lorazepam
(Ativan)
Anticholinergics - ANSWER -Decrease secretions (Robinul/
Atropine/Scopolomine) dries secretions/ blocks parasympathetic nerve
impulse
Demerol - ANSWER -a synthetic narcotic drug meperidine
hydrochloride used to treat pain