Suffolk County Community College: NUR 133 Ch 17 Preoperative Nursing Management Outline (Fall 2025)

 Ch 17 Preoperative Nursing Management Outline

 Perioperative Nursing – 3 phases
 Preoperative phase: begins when the decision to proceed with surgical intervention is made
and ends with the transfer of the patient onto the operating room (OR) bed
 Intraoperative phase: begins when the patient is transferred onto the OR bed and ends with
admission to the PACU (post anesthesia care unit)
 Postoperative phase: begins with the admission of the patient to the PACU and ends with a
follow-up evaluation in the clinical setting or home
 Surgical Classification
 Facilitating a diagnosis, a cure, or repair
 Reconstructive, cosmetic, or palliative
 Rehabilitative
 Based upon the degree of urgency involved: emergent, urgent, required, elective, and
optional
 Preadmission Testing
 Initiates the nursing process
 Admission data: demographics, health history, other information pertinent to the surgical
procedure
 Verifies completion of preoperative diagnostic testing
 Begins discharge planning by assessing patient’s need for postoperative care
 Preoperative Assessment
 Health history and physical exam
 Medications and allergies
 Nutritional, fluid status
 Dentition
 Drug or alcohol use
 Respiratory and cardiovascular status
 Hepatic, renal function
 Endocrine function
 Immune function
 Previous medication use
 Psychosocial factors
 Spiritual, cultural beliefs
 Medications That Potentially Affect Surgical Experience
 Corticosteroids
 Diuretics
 Phenothiazines
 Tranquilizers
 Insulin
 Antibiotics
 Anticoagulants
 Anticonvulsant medications
 Thyroid hormone
 Opioids
 Over-the-counter and herbals

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