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Preoperative cntd.

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mattisensept's version from 2017-06-01 01:46

Section

Question Answer
Value of preop teaching Increased satisfaction w/nursing care, not in the mood for teaching- concerned w/pain N/V, prognosis, teaching pre, post-make sure it gets done.
Pre op teaching reduces Fear, anxiety, postoperative vomiting, pain, use of pain meds, # of complications, duration of hospitalization, recovery time
Pre op procedure Appropriate dress, no make up, finger nail polish, records complete, valuables locked up, prostheses removed, void (time and volume),
Pre op meds NO GETTING UP AFTER
Post op meds Bed rest, SR up, call light within reach, bring urinal if needed
Common meds Anticholinergics, anti nausea, antibiotics, sedative, ask pt. what they have taken before
Rules of Delegation Anything requiring critical thinking cannot be delegated (assessment, diagnosis), anything that may change the nursing diagnosis, can delegate concrete tasks- but not the decisions that flow form those tasks, full head to toe assessments
AnticholinergicsReduce oral & respiratory secretions, prevent bradycardia
Sedatives & amnesiacs Reduce anxiety,
Opioids Reduce anesthesia requirements & pain of preparation
Antimetics Reduce N/V
Antibiotics timed for peak bactermia,
Preoperative conclusions Done- pre op teaching, informed consent, psychological preparation, physical preparation (baseline), immediate preoperative nursing interventions
memorize

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