Intraoperative Nursing: Potential Complications
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-Circulating nurse pays attention to the whole intraoperative environment,
including changes in the sounds of the monitor, changes in the color and
amount of urine
-If change from baseline assessment, circulating nurse notifies entire team
-Types of complications:
-Hypovolemia
-Hypervolemia
-Hyponatremia
, -Hypernatremia
-Hypokalemia
-Hyperkalemia
-Increased intracranial pressure
-Hypothermia
-Hyperthermia
-Malignant hyperthermia
Intraoperative Nursing: Anesthesia
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-Local
-General
-Type depends on many variables, such as type of procedure, level of
systemic illness
-Perioperative nurse has consistent role regardless of type of anesthesia
used
-ASA Physical Status Classification System
▪ASA I: Patient is healthy
▪ASA II: Patient has mild systemic disease
▪ASA III: Patient has one severe systemic illness
▪ASA IV: Patient has life-threatening severe illness
▪ASA V: Patient is not expected to survive more than 24 hours unless
surgery occurs
▪ASA VI: Patient is brain dead
-Laryngeal mask airways, endotracheal tubes
▪Anesthesia provider chooses airway management device
▪Laryngeal mask airway
-Inserted into pharynx, forms seal around laryngeal inlet, creates positive-
pressure ventilation
▪Endotracheal tube
-Inserted through vocal cords into trachea
Lifespan Considerations: Perioperative care of older adults
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-Nuances related to aging
▪Hearing
▪Speed of comprehension
-Maintaining normothermia during procedure challenging in older adults
-Higher risk of pressure sores, VTE, SSIs, pneumonia, other complications
-Reinforce teaching related to moving, deep breathing, coughing
Postoperative Nursing; documentation
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▪Review of history and physical assessment
▪Systems assessment
▪Pain assessment
▪Sedation assessment
▪Psychosocial assessment
▪Care of lines, drains
▪Medication review and administration
▪I&O
▪Laboratory testing
▪Blood administration
▪Dressing changes
▪Discharge education
Lifespan Considerations: Perioperative care of pregnant women
Give this one a try later!
-Radiologic testing may pose risk to fetus
-During intraoperative phase, place patient in left lateral recumbent
position
-Pneumatic stockings recommended
Give this one a try later!
-Circulating nurse pays attention to the whole intraoperative environment,
including changes in the sounds of the monitor, changes in the color and
amount of urine
-If change from baseline assessment, circulating nurse notifies entire team
-Types of complications:
-Hypovolemia
-Hypervolemia
-Hyponatremia
, -Hypernatremia
-Hypokalemia
-Hyperkalemia
-Increased intracranial pressure
-Hypothermia
-Hyperthermia
-Malignant hyperthermia
Intraoperative Nursing: Anesthesia
Give this one a try later!
-Local
-General
-Type depends on many variables, such as type of procedure, level of
systemic illness
-Perioperative nurse has consistent role regardless of type of anesthesia
used
-ASA Physical Status Classification System
▪ASA I: Patient is healthy
▪ASA II: Patient has mild systemic disease
▪ASA III: Patient has one severe systemic illness
▪ASA IV: Patient has life-threatening severe illness
▪ASA V: Patient is not expected to survive more than 24 hours unless
surgery occurs
▪ASA VI: Patient is brain dead
-Laryngeal mask airways, endotracheal tubes
▪Anesthesia provider chooses airway management device
▪Laryngeal mask airway
-Inserted into pharynx, forms seal around laryngeal inlet, creates positive-
pressure ventilation
▪Endotracheal tube
-Inserted through vocal cords into trachea
Lifespan Considerations: Perioperative care of older adults
, Give this one a try later!
-Nuances related to aging
▪Hearing
▪Speed of comprehension
-Maintaining normothermia during procedure challenging in older adults
-Higher risk of pressure sores, VTE, SSIs, pneumonia, other complications
-Reinforce teaching related to moving, deep breathing, coughing
Postoperative Nursing; documentation
Give this one a try later!
▪Review of history and physical assessment
▪Systems assessment
▪Pain assessment
▪Sedation assessment
▪Psychosocial assessment
▪Care of lines, drains
▪Medication review and administration
▪I&O
▪Laboratory testing
▪Blood administration
▪Dressing changes
▪Discharge education
Lifespan Considerations: Perioperative care of pregnant women
Give this one a try later!
-Radiologic testing may pose risk to fetus
-During intraoperative phase, place patient in left lateral recumbent
position
-Pneumatic stockings recommended
