BIOC33H3 Lecture Notes - Nursing Assessment, Cholecystectomy, Barbiturate
25 Mar 2013
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Document Summary
Surgery is performed to diagnose, cure, palliate, prevent, explore, and/or provide cosmetic improvement. Ambulatory surgery is generally preferred by patients, physicians, and third-party payers. Common fears associated with surgery include the potential for death, permanent disability resulting from surgery, pain, change in body image, or results of a diagnostic procedure. In the nursing assessment, information should also be obtained about the patient"s family concerning any history of adverse reactions to or problems with anesthesia. All findings on the medication history should be documented and communicated to the intraoperative and postoperative personnel. Patients should also be screened for possible latex allergies. The preoperative assessment of the older person"s baseline cognitive function is especially crucial for intraoperative and postoperative evaluation. The patient with diabetes mellitus is especially at risk for adverse effects of anesthesia and surgery. Obesity stresses both the cardiac and pulmonary system and makes access to the surgical site and anesthesia administration more difficult.
