Minimizing anxiety for surgery
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-Preoperative teaching
-Encourage communication
-Promote rest
-Teach family members
Administering regularly scheduled medications pre-op
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, -consult w/ physician & anesthesia provider for instructions
-drugs for certain conditions often allowed with a sip of water (cardiac
disease, resp disease, seizures, HTN)
Three types of information
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Sensory; sensations a person is likely to experience during and after the
procedure
Process;
Procedural; consists of a description of the procedures involved in the
event
Responsibilities for obtaining consent
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-Nurse may witness signature for verification
-Patient may withdraw from surgery at any time
-Nurse is not responsible for providing detailed information about surgery
-nurse clarifies facts & dispels myths about surgery
-must include adequate disclosure, understanding, comprehension,
voluntarily given consent
Albumin levels
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, 3.5-5 g/dL
Postoperative assessment
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-airway (patency & artificial airway)
-breathing (RR, breath sounds, pulse ox)
-circulation (ECG, VS, pulses, cap refill, skin color/temp
-neurologic (glasgow coma scale, A&O, pupil size/reaction)
-GU (I&O, EBL)
-GI (bowel sounds, nausea, NG)
-Surgical site (dressing, pain, incisional)
Hypertension in older adults
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-white coat syndrome; ABPM monitoring
-age-related physical changes
-altered drug absorption, metabolism, excretion
-orthostatic hypotension
-BP goal <150/90
-caution use of NSAIDS
Risk factors for impaired perfusion
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Give this one a try later!
-Preoperative teaching
-Encourage communication
-Promote rest
-Teach family members
Administering regularly scheduled medications pre-op
Give this one a try later!
, -consult w/ physician & anesthesia provider for instructions
-drugs for certain conditions often allowed with a sip of water (cardiac
disease, resp disease, seizures, HTN)
Three types of information
Give this one a try later!
Sensory; sensations a person is likely to experience during and after the
procedure
Process;
Procedural; consists of a description of the procedures involved in the
event
Responsibilities for obtaining consent
Give this one a try later!
-Nurse may witness signature for verification
-Patient may withdraw from surgery at any time
-Nurse is not responsible for providing detailed information about surgery
-nurse clarifies facts & dispels myths about surgery
-must include adequate disclosure, understanding, comprehension,
voluntarily given consent
Albumin levels
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, 3.5-5 g/dL
Postoperative assessment
Give this one a try later!
-airway (patency & artificial airway)
-breathing (RR, breath sounds, pulse ox)
-circulation (ECG, VS, pulses, cap refill, skin color/temp
-neurologic (glasgow coma scale, A&O, pupil size/reaction)
-GU (I&O, EBL)
-GI (bowel sounds, nausea, NG)
-Surgical site (dressing, pain, incisional)
Hypertension in older adults
Give this one a try later!
-white coat syndrome; ABPM monitoring
-age-related physical changes
-altered drug absorption, metabolism, excretion
-orthostatic hypotension
-BP goal <150/90
-caution use of NSAIDS
Risk factors for impaired perfusion
Give this one a try later!
