Transcript lecture 6 intra op care.ppt

Chapter 18
Nursing Management:
Intraoperative Care
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Physical Environment
• Department Layout
• Holding Area
• Operating Room
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Surgical Team
• Registered Nurse
• Licensed Practical Nurse
and Surgical Technician
• Surgeon and Assistant
• Registered Nurse First Assistant
• Anesthesia Care Provider
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Nursing Management:
Patient Before Surgery
• Psychosocial Assessment
• Physical Assessment
• Chart Review
• Admitting the Patient
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Nursing Management:
Patient During Surgery
• Room Preparation
• Transferring the Patient
• Scrubbing, Gowning,
and Gloving
• Basic Aseptic Technique
• Assisting the Anesthesia
Care Provider
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Nursing Management:
Patient During Surgery (cont.)
• Positioning the Patient
• Preparing the Surgical Site
• Safety Considerations
• Patient After Surgery
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Classification of Anesthesia
• General Anesthesia
– Intravenous Induction Agents
– Inhalation Agents
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Classification of Anesthesia
• General Anesthesia (cont.)
– Adjuncts to General Anesthesia
• Opioids
• Benzodiazepines
• Neuromuscular blocking agents
• Antiemetics
– Dissociative Anesthesia
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Classification of Anesthesia (cont.)
• Local Anesthesia
– Methods of Administration
• Spinal and epidural anesthesia
• Additional Anesthesia
Considerations
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Gerontologic Considerations:
Patient During Surgery
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Catastrophic Events
in the Operating Room
• Anaphylactic Reactions
• Malignant Hyperthermia
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New and Future
Considerations
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