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BIOC33H3 (127)

Preoperative Care

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Biological Sciences
Stephen Reid

Chapter 18: Preoperative Care  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.  The preoperative nursing assessment is performed to: o Determine the patient’s psychologic and physiologic factors that may contribute to operative risk factors o Establish baseline data o Identify and document the surgical site o Identify prescription and over-the-counter (OTC) drugs and herbal products o Confirm laboratory results o Note cultural and ethnic factors that may affect the surgical experience o Validate that the consent form has been signed and witnessed  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.  Preoperative teaching involves the following: o Three types of information: sensory, process, and proced
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