Peri-operative Nursing Fall 2012 Nrsg 103

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Peri-operative Nursing:

Peri -operative Nursing Chapter 30

Key Terms :

Anesthesia Atelectasis DVT Elective surgery Emoblus Emergency surgery Hemorrhage Hypothermia Moderate sedation/analgesia Optional surgery Perioperative nursing Peroperative period Pneumonia Shock Thrombophlebitis Urgent surgery Key Terms

Points to know:

Identify the 3 phases of surgery ( perioperative period) Preoperative phase: Begins when the decision to have surgery is made and ends when the patient is transferred to the operating table. Intraoperative phase: Begins when the client is transferred to the operating table and ends when the client is admitted to the postanesthesia care unit. Postoperative phase: Begins with the admission of the client to the postanesthesia area and ends when healing is complete. Points to know

Degree of Risk:

Review Table 30-1 Classification of surgical procedures pg. 821 Identifies: Based on urgency Based on degree of risk Based on purpose Degree of Risk

Preoperative phase:

Assessing Physical assessment Screening tests Diagnosing Planning(planning for home care) Implementing(preoperative teaching) Focused assessment guide (30-1) pg. 829 Box 30-2, Box 30-3 Preoperative phase

Intraoperative phase:

Types of anesthesia Assessing Diagnosing Planning Implementing( Guidelines for nursing care 30-3, pg 837) Intraoperative phase

Postoperative phase, pg. 840-846:

Immediate postanesthetic phase Physical assessment, pg. 839, 841 Table 30-2 Diagnosing Planning Implementing: Positioning Deep breathing and coughing exercises, pg. 833-834 Leg excerises , figure 30-2, pg. 835 Moving and ambulation Hydration Diet Urinary/ bowel elimination, Box 30-6, pg. 845 Suction Wound care Coping, Box 30-7, pg. 846 Postoperative phase, pg. 840-846

Skills to review :

Skill 30-1:Preoperative care Skill 30-2 : Postoperative care It is important to understand why these skills are important to the client/patient after surgery. What are possible complications if interventions are not completed. Skills to review

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