Podcast
Questions and Answers
Which of the following is a contraindication for the use of alfentanil?
Which of the following is a contraindication for the use of alfentanil?
What must a healthcare provider monitor throughout the administration of alfentanil?
What must a healthcare provider monitor throughout the administration of alfentanil?
Which of the following is an expected side effect of alfentanil?
Which of the following is an expected side effect of alfentanil?
What should be readily available in case of an alfentanil overdose?
What should be readily available in case of an alfentanil overdose?
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What is a potential adverse effect of alfentanil related to the cardiovascular system?
What is a potential adverse effect of alfentanil related to the cardiovascular system?
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Which nursing responsibility is important to prevent muscle rigidity when administering alfentanil?
Which nursing responsibility is important to prevent muscle rigidity when administering alfentanil?
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Why is it important to assess a patient's pain level before and after administering alfentanil?
Why is it important to assess a patient's pain level before and after administering alfentanil?
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What should be checked in a patient's history before administering alfentanil?
What should be checked in a patient's history before administering alfentanil?
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What nursing intervention is essential during the Induction stage of anesthesia?
What nursing intervention is essential during the Induction stage of anesthesia?
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Which symptom is characteristic of Stage II (Delirium/Excitement) anesthesia?
Which symptom is characteristic of Stage II (Delirium/Excitement) anesthesia?
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In which stage does the patient lose the gag and cough reflexes?
In which stage does the patient lose the gag and cough reflexes?
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What immediate action is required during Stage IV (Danger/Medullary Depression) anesthesia?
What immediate action is required during Stage IV (Danger/Medullary Depression) anesthesia?
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Which nursing intervention is specific to managing risks during the Stage of Delirium/Excitement?
Which nursing intervention is specific to managing risks during the Stage of Delirium/Excitement?
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What is a key sign of Stage I anesthesia?
What is a key sign of Stage I anesthesia?
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What symptom should be monitored closely in patients in Stage IV anesthesia?
What symptom should be monitored closely in patients in Stage IV anesthesia?
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What is a responsibility of nursing staff during the Surgical Anesthesia stage?
What is a responsibility of nursing staff during the Surgical Anesthesia stage?
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What is a critical aspect of ensuring informed consent prior to surgery?
What is a critical aspect of ensuring informed consent prior to surgery?
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How do antihypertensive drugs potentially increase surgical complications?
How do antihypertensive drugs potentially increase surgical complications?
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What is a primary reason to assess coagulation status prior to surgery?
What is a primary reason to assess coagulation status prior to surgery?
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In which situation would a patient with diabetes require special monitoring during surgery?
In which situation would a patient with diabetes require special monitoring during surgery?
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What effect does decreased immunity have on surgical patients?
What effect does decreased immunity have on surgical patients?
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Why is it important to identify cultural and ethnic factors in the surgical setting?
Why is it important to identify cultural and ethnic factors in the surgical setting?
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How does malnutrition, including obesity, impact surgical outcomes?
How does malnutrition, including obesity, impact surgical outcomes?
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What role do bleeding disorders have in the surgical setting?
What role do bleeding disorders have in the surgical setting?
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Flashcards
Alfentanil Contraindications
Alfentanil Contraindications
Hypersensitivity to alfentanil or other opioids, respiratory depression, or severe asthma, paralytic ileus.
Alfentanil Side Effects
Alfentanil Side Effects
Common side effects include nausea, vomiting, dizziness, and respiratory depression.
Alfentanil Adverse Effects (CNS)
Alfentanil Adverse Effects (CNS)
Central Nervous System effects include sedation and confusion.
Alfentanil Adverse Effects (CV)
Alfentanil Adverse Effects (CV)
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Alfentanil Adverse Effects (Respiratory)
Alfentanil Adverse Effects (Respiratory)
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Nursing Responsibility: Monitoring
Nursing Responsibility: Monitoring
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Nursing Responsibility: Resuscitation
Nursing Responsibility: Resuscitation
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Nursing Responsibility: Patient Education
Nursing Responsibility: Patient Education
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Stage I of Anesthesia
Stage I of Anesthesia
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Stage II Anesthesia
Stage II Anesthesia
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Stage III Anesthesia
Stage III Anesthesia
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Stage IV Anesthesia
Stage IV Anesthesia
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Surgical Anesthesia
Surgical Anesthesia
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Induction, Anesthesia
Induction, Anesthesia
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Nursing Interventions (Stage I)
Nursing Interventions (Stage I)
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Nursing Interventions (Stage II)
Nursing Interventions (Stage II)
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Preoperative Lab Tests
Preoperative Lab Tests
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Informed Consent
Informed Consent
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Surgical Complications
Surgical Complications
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Hemoglobin/Hematocrit
Hemoglobin/Hematocrit
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Electrolyte Imbalance
Electrolyte Imbalance
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Coagulation Status
Coagulation Status
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Blood Type
Blood Type
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Preoperative Assessment (Diabetes)
Preoperative Assessment (Diabetes)
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Study Notes
Peri-Operative Nursing
- This module covers nursing care for clients during the peri-operative period.
- The learners are third-year nursing students who have successfully completed NCM 109.
- The module is divided into five concepts:
- Care of Clients with Problems in Oxygenation
- Care of Clients with Problems in Fluids and Electrolytes Imbalances
- Care of Clients with Problems in Infectious, Inflammatory, and Immunologic Responses
- Cellular Aberration (Oncology Nursing)
- Care of Clients during the Peri-Operative Period (Peri-Operative Nursing)
- Program outcomes include applying knowledge of sciences to nursing practice, providing safe care, and applying evidence-based practices.
- The module includes knowledge, judgment, and skills based on nursing science, concentrating on safety, advocacy, and patient education.
- The module covers preoperative, intraoperative, and postoperative phases of surgical experience.
Instruction to Learners
- The module tackles nursing care during the peri-operative period.
- This module will focus on specific surgical topics.
- A 4-hour session will be held Monday and Wednesday.
- Unit 1: Introduction to Peri-Operative Nursing (1 hour)
- Unit 2: Pre-Operative Phase (2 hours; includes assessment, preparation, and ethico-legal aspects)
- Unit 3: Intra-Operative Phase (3 hours; includes environment, team, positioning, incision, aseptic techniques, and anesthesia)
- Unit 4: Post-Operative Phase (2 hours; includes PACU and nursing management in surgical unit)
Objectives
- Included objectives are based on content of each unit.
Introduction to Peri-Operative Nursing
- Definition of perioperative nursing
- Three phases of perioperative nursing
- Major pathologic processes requiring surgery
- Relationship of the nursing process to perioperative nursing
- Types of surgical classifications
Pre-Operative Assessment
- Goals of preoperative assessment include determining the patient's psychological status and identifying potential risks related to the surgical procedure.
- Identifying risk factors for surgical complications
- Describe routine pre-operative screening tests.
Pre-Operative Assessment and Preparation
- Documentation of results for pre-operative tests
- Identifying patient's level of anxiety, coping ability, and support systems.
Ethical-Legal Aspect of Surgery
- Definition of informed consent
- Legal implications of informed consent
- Identifying circumstances that require informed consent
Intraoperative Phase: Surgical Environment and Team
- Description of surgical environments.
- Responsibilities of surgical team members.
- Principles of aseptic techniques in the OR.
Intraoperative Phase: Surgical Positioning, Incisions, and Aseptic Techniques
- Positioning techniques for surgery.
- Types of surgical incisions.
- Aseptic techniques.
Intraoperative Phase: Anesthesia
- Effects of anesthesia
- Stages of anesthesia
- Types of anesthetic drugs
Postoperative Phase (PACU)
- Responsibilities of a PACU nurse in preventing complications.
- Common postoperative problems.
- Outline wound healing process.
- Assessment and discharge criteria
Post Operative Phase: Nursing Management in Surgical Unit
- Postoperative nursing interventions in the general surgical unit.
- Common Post-operative problems and management.
- Wound healing process
Post-Operative Complications
- Potential complications (wound infection, impaired wound healing, dehiscence, evisceration, pneumonia, atelectasis, thrombophlebitis, urinary incontinence, intestinal obstruction, constipation and paralytic ileus, postoperative depression).
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