NSE 22A/B Lecture Notes - Lecture 11: Septic Shock, Cleft Lip And Cleft Palate, Colorectal Cancer
17 Jan 2019
School
Department
Course
Professor
Document Summary
Week eleven operative care (pre, intra, and post) Purpose performed for: diagnosis exploration, ablative removal, removing tissue or diseased body part ex: part of liver, appendix, amputation, palliation relieving or reducing severity of symptoms without actually suring ex. Nursing care given: before surgery preoperative, during surgery intraoperative, after surgery - postoperative. In-patient client same day admission, 23hr observation or more: outpatient (ambulatory) usually less than 3 to 4 hours in pacu and discharged. 0. 8-1. 2 (if on anticoagulants should be 1. 5-2x norm) 60-70 sec (aptt 30-40 sec) (m) 0. 42-0. 52; (f) 0. 37-0. 47 (m) 140-180 mmol/l; (f) 120-160 mmol/l. 3. 6-7. 1 mmol/l (m) 53-106 mol/l; (f) 44-97 mol/l. Intraoperative surgical phase: circulating nurse, scrub nurse, preoperative holding area, admission to the operating room. Other triggers include trauma, heat, stress, hypercarbia, ventricular dysrhythmias: hypothermia, deliberate lowering of body temperature to decrease metabolism, reduces demand for o2 and anaesthesia. Immediate postoperative recovery in pacu: discharge from pacu, recovery in ambulatory surgery, postoperative convalescence.
