NUR 4227 Lecture Notes - Lecture 2: Surgical Stress, Socioeconomic Status, Fish Oil
Document Summary
Nursing assessment: overall goals, plan care to ensure patient safety, establish baseline data for comparison intraoperative and postoperative, determine psychologic status to reinforce coping strategies, determine physiologic factors of procedure contributing to risks. Identify drugs, otc medications, and herbs taken that may affect surgical outcome: nsaids, ginseng, garlic, vitamin e, fish oil, kava, valerian. Preoperative care: psychosocial assessment, stress response, review general adaptation syndrome, response to stress affects healing, immunity, and overall recovery, scheduled surgery versus unscheduled/emergent. Past health history: home medications, prescribed, otc, chemically dependent, usual substances abused, tobacco, alcohol, lung, gi, liver damage, alcohol withdrawal, opioids, marijuana, cocaine, herbs/supplements (p. 304) Vte risk (who?: use of cardiac drugs, presence of pacemaker; implantable defibrillators; prosthetic heart values. Impaired wound healing: history of voiding issues. Inspect skin status especially round planned surgical site. Intraoperatively to decrease surgical pain: implantable catheters may provide pain relief for up to 72 hours, spinal. Iv induction agents: induce pleasant sleep, rapid onset.
