Med Surg 1 final study guide

18 terms by bgailgriffin 

Create a new folder

Advertisement Upgrade to remove ads

What are some of the complications an obese patient would have with surgery?

delayed wound healing, wound dehiscence, infection, pneumonia, atelectasis, thrombophlebitis, dysrhythmias, and heart failure.

When doing pre-op teaching, what does the nurse teach the patient preoperatively that they should be doing post-operatively to increase the recovery?

Protein, colories, and vitamins are needed for wound healing and recovery from surgery; low-fat, high-fiber diets are important for chronic cardiovascular fitness, but are contraindicated in the would healing phase following surgery; failure to use the gastrointestinal tract for more than 4 or 5 days allows the intestinal mucosa to atrophy, putting the patient at risk for infection.

What medications are we likely to give someone before they go into surgery?

Sedation, reducing anxiety, inducing amnesia to minimize unpleasant surgical memories, increasing comfort during preoperative procedures, reducing gastric acidity and volume, increasing gastric emptying, decreasing nausea and vomiting, and reducing the incidence of aspiration by drying oral and respiratory secretions.

Sedation medications prior to surgery.

Versed
Valium

Reducing anxiety medications prior to surgery.

Versed; Valium;
Morphine; Sublimaze; Roxicodone; Vicodin; Ultram; Tylenol with Codeine

Inducing amnesia medications prior to surgery.

Ativan

Reduce gastric acidity and volume prior to surgery.

Bicitra;
Tagamet; Pepcid; Axid; Zantac;
Prevacid; Prilosec; Protonix;

Enhances gastric emptying prior to surgery.

Reglan

Reduces oral and respiatory secretions to decrease risk of aspiration; decreases bomiting and laryngospasm

Atropine sulfate; Robinul; Scopolamine

Prevents surgical site infections in orthopedic and general surgeries and is associated with lower risk of mortality in elderly patients.

Ancef

What is the function of the different OR workers (scrub tech, scrub nurse, circulating nurse)?

Scrub person - handles sutures, instruments, and other equipment immediately adjacent to the sterile field.
Circulating nurse - oversees the physical aspects of the operating room itself, including the equipment, assests with transferring and positioning the patient, prepares the patient's skin, ensures that no break in aseptic technique occurs, and counts all sponges and instruments.

If given a set of ABGs can you diagnose the disorder?

PaCO2 35-45 mmHg (parital pressure of carbon dioxide)
PaO2 80-100 mmHg (parital pressure of oxygen)
HCO3 22-26 mmHg (bicarbonate concentration)

What lab values would be important to inform the surgeon before going into surgery?

Hgb; Hct; Glucose; hemoglobin-A1c; WBC; Platelet count; CO2; K+; Na+; Cl-; PT; PTT; BUN

How do you know after surgery when the patient is ready to eat?

Audible bowel sounds or passage of flatus

Be able to tell how peak and trough antibiotic levels are obtained?

peak (1-2 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after intavenous administration); trough (lowest level, usually a few minutes before the next scheduled dose)

What kind of precautions are necessary, when a patient is taking chemotherapy?

Nurses teach patients to increase fluid intake to flush out the drugs; to get extra rest, which can both assist therapy and help the patient avoid other illnesses; to limit their exposure to other people, expecially children or thos with infections.

What are the leading causes of cancer in the US?

Breast cancer;
Prostate cancer;
Melanoma;
Bladder cancer

What are the medications given for gout and the nursing implication for them?

Acute attack:
NSAIDs - Indomethacin (Indocin)
Colchicine
Corticosteroids (for whom NSAIDs are contraindicated)
Prophylactic Therapy:
Colchicine
Uricosuric drugs (Benemid, Anturane)

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set