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NU-331 Preopertaive Patient
Terms in this set (28)
Purposes of Patient Interview:
Identify risk factors (physiological, psychological...)
Assess patient safety issues
Identify learning needs
Determine patients discharge needs
Assess coping strategies
Evaluate lab results
Past health history
Psychosocial Assessment: Situational Changes:
Degree of independence
Psychosocial Assessment: Concerns of unknown:
Expectations of surgery
Psychosocial Assessment: Concerns with body image:
view of self, current roles
Psychosocial Assessment: Past experiences:
Age specific needs
be aware of religious beliefs
Past health history:
reactions to anesthesia in past
OTCs (over the counter)
Herbals (should be stopped 3 weeks before surgery)
Rhythm disturbances (pacemaker requires
Integumentary system review;
skin rashes, pressure ulcers.
Arthritis, back problems, mobility restrictions.
Endocrine (diabetics at risk) review:
Immune (immunocompromised) review:
Increased risk for infection
Active infections... may cancel elective surgery
Nutritional status (overnutrition, undernutrition)
Obesity risks: cardiac, wound dehiscence, infection, incisional herniation, (adipose tissue is less vascular)
Undernutrition: vitamin deficiencies
Note individuals with high caffeine intake
patterns of elimination.
Begins with initial contact:
-General surgery info: NPO, Cough, deep breathing, Tubes, drains, monitors, IVs, Intubated (tell pt about inability to speak), Paralytic drugs (tell pt about inability to move.)
-Clarification about specific surgical procedure
-Ambulatory surgery information
Active, shared decision-making process between the provider and the recipient of care.
Three conditions to be valid: Adequate disclosure, Clear understanding & comprehension, Giving of consent voluntarily.
Final pre-op teaching
Assessment & communication of pertinent findings
Ensure completion of all pre-op prep orders
-Opiods: Morphine, meperdine, fentanyl
-Anticholinergics (decrease secretions): atropine, scopolamine, glycopyrrolate
-Benzodiazepines (relaxants): midazolam (versed), diazapam (valium),lorazepam (Ativan)
-Antiemetics: metochopramide (Reglan), droperidol (...
Transportation to the OR:
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