Transcript lecture 5 Overview pre op care.ppt

Chapter 17
Nursing Management:
Preoperative Care
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Surgical Settings
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Patient Interview
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Nursing Assessment of the
Preoperative Patient
• Subjective Data
– Psychosocial Assessment
• Anxiety
• Common fears
• Hope
– Past Health History
– Medications
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Nursing Assessment of the
Preoperative Patient (cont.)
• Subjective Data (cont.)
– Allergies
– Review of Systems
• Cardiovascular system
• Respiratory system
• Nervous system
• Urinary system
• Hepatic system
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Nursing Assessment of the
Preoperative Patient (cont.)
– Review of Systems (cont.)
• Integumentary system
• Musculoskeletal system
• Endocrine system
• Immune system
• Fluid and electrolyte status
• Nutritional status
– Functional Health Patterns
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Nursing Assessment of the
Preoperative Patient (cont.)
• Objective Data
– Physical Examination
– Laboratory and Diagnostic Testing
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Nursing Management:
Preoperative Patient
• Preoperative Teaching
– General Surgery Information
– Ambulatory Surgery
Information
• Legal Preparation for Surgery
– Consent for Surgery
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Nursing Management:
Preoperative Patient (cont.)
• Day-of-Surgery Preparation
– Nursing Role
– Preoperative Medications
• Transportation to the
Operating Room
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Culturally Competent Care
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Gerontologic Considerations:
Preoperative Patient
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