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Nursing management of the surgical patient

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mattisensept's version from 2017-05-31 21:09

Section 1

Question Answer
Preoperative teaching focus Provide care to ensure patient safety throughout surgical experience, perform a preoperative assessment-focusing on identifying and addressing risk factors that affect care planning, assess and address patients psychosocial reactions to surgery, provide preoperative teaching- incorporating the patients individual beliefs and needs, prepare the patient appropriately on the day of surgery.
Reasons for surgery Diagnose (biopsy), cure (removal of diseased organ), palliation (partial removal of a tumor, cut a nerve to reduce pain, Cosmetic (revise a scar, breast implant), Prevention (remove precancerous tumor, Exploration (determine extend of disease)
Time Frame (Emergency) Unexpected/urgent- ruptured spleen
Time Frame (elective) Planned event - tummy tuck
Surgical settings- Outpatient (ambulatory)Less complex, shorter surgeries, shorter recoveries, no overnight, less money, in the ER & free-standing clinics
Recovery aka PAC-U Gets pt. stable, alert and responsive, not throwing up, pain controlled
Perioperative Nursing Data Set (PNDS) Standars (guidelines, benchmarks), addresses--> safety, psycho/soc, pt/family responses, staffing.. all aspects of care
Appendectomy Excursion/removal
ElectrolysisDestruction of
Herniorrhaphy Repair/suture of
Endoscopy Looking into
Colostomy Creation of opening
Tracheotomy Cut/incision of
Mammoplastyrepair/reconstruction
*Abdominal sx Increase risk of breathing- secretions, atelectais, fluid in lungs
Nurses Role Assessment/teaching/surveillance and intervention
PreoperativeTeaching and assessment
IntraoperativeSurveillance
PostoperativeSurveillance & teaching- aimed at preventing complications & facilitating recovery and discharge
memorize

Section 2