NSG3305 Lecture Notes - Lecture 2: Post-Anesthesia Care Unit, National Council Licensure Examination, Nursing Assessment
2 Apr 2018
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Info about the nclex september 25th 8:40am, rgn 2003. 1st midterm (20 questions from each lecture) plus five additional nclex research questions. Preoperative care: surgery, performed for: diagnosis, cure/repair, palliation, prevention, exploration, cosmetic improvement. Surgical settings: emergency (unexpected, elective (planned, inpatient (same-day admission, ambulatory (same day surgery, procedures take less than 2 hours, usually less than 3 to 4 hours in post-anesthesia care unit or post-anesthesia recovery room. Nursing assessment of the patient before surgery: risk factors, patient safety, psychological status, cultural and ethnic, receipt of adequate information from surgeon, psychosocial needs of the patient. Preoperative meds: benzos and barbiturates, anticholinergic (decrease secretions, narcotics (pain relief), also reduce level of anesthesia being administered, anti-emetics gravol to avoid vomiting. Other medications may be administered preoperatively: antibiotics, eye-drops, routine prescription drugs. Age-related considerations: consider sensory defects, assess how alert they are. Nursing role involves understanding of anesthesia, pharmacology, and surgery, surgical interventions, which allow you to monitor the patient"s response.
