Podcast
Questions and Answers
Surgical counts are performed to prevent retained surgical items and to ensure patient ______.
Surgical counts are performed to prevent retained surgical items and to ensure patient ______.
safety
One of the times when counts need to be performed is after closure of a ______.
One of the times when counts need to be performed is after closure of a ______.
cavity
The supine position, also called the dorsal ______ position, is commonly used for abdominal and cardiovascular procedures.
The supine position, also called the dorsal ______ position, is commonly used for abdominal and cardiovascular procedures.
recumbent
In the Trendelenburg position, a variation of the supine, the head is lower than the ______.
In the Trendelenburg position, a variation of the supine, the head is lower than the ______.
A Semi-Fowler's position involves a 30-45° incline and is often used during ______ procedures.
A Semi-Fowler's position involves a 30-45° incline and is often used during ______ procedures.
[Blank], rectal, axillary and tympanic are all temperature monitoring techniques.
[Blank], rectal, axillary and tympanic are all temperature monitoring techniques.
A patient with a body temperature above 100.4°F (38°C) is considered to be experiencing ______.
A patient with a body temperature above 100.4°F (38°C) is considered to be experiencing ______.
Common pulse points include the radial, carotid, and ______ arteries.
Common pulse points include the radial, carotid, and ______ arteries.
[Blank] is defined as a slow heart rate, typically under 60 bpm.
[Blank] is defined as a slow heart rate, typically under 60 bpm.
[Blank] or difficulty breathing while lying flat is relieved by sitting or standing.
[Blank] or difficulty breathing while lying flat is relieved by sitting or standing.
Flashcards
Why are surgical counts performed?
Why are surgical counts performed?
To prevent retained surgical items, ensure patient safety, and maintain accountability.
When are surgical counts performed?
When are surgical counts performed?
Before incision, during cavity closure, and skin layer closure.
Supine Position
Supine Position
Also known as the dorsal recumbent position, useful for abdominal, cardiovascular, and orthopedic procedures.
Trendelenburg Position
Trendelenburg Position
Signup and view all the flashcards
Reverse Trendelenburg Position
Reverse Trendelenburg Position
Signup and view all the flashcards
Semi-Fowler's Position
Semi-Fowler's Position
Signup and view all the flashcards
Fowler's Position
Fowler's Position
Signup and view all the flashcards
Temperature Monitoring Techniques
Temperature Monitoring Techniques
Signup and view all the flashcards
Common pulse points
Common pulse points
Signup and view all the flashcards
Normal pulse rate
Normal pulse rate
Signup and view all the flashcards
Study Notes
-
Surgical counts are performed for three main reasons:
-
Preventing retained surgical items like sponges or instruments
-
Ensuring patient safety and lessening the chance of complications after surgery
-
Upholding legal and professional standards for the surgical team
-
Surgical counts should occur at these times:
-
Before the first cut into the skin
-
When a cavity is opened within another cavity
-
When a cavity is being closed
-
After all layers of tissue are closed
Supine Position
- The supine position is also referred to as the dorsal recumbent position
- This position is useful for:
- Surgeries of the abdomen
- Cardiovascular system
- Orthopedic procedures
- Provides access to the head, neck, upper extremities, chest, abdomen, pelvis, and lower extremities
Variations of the Supine Position
- Trendelenburg: head is lower than the feet, to improve view in pelvic and lower abdominal surgeries
- Reverse Trendelenburg: head is higher than the feet, reduces blood flow in upper abdominal or head/neck surgeries
- Semi-Fowler’s: Angle of 30–45°, for neurosurgical and head/neck procedures
- Fowler’s: Angle of 45–90°, decreases blood flow to upper body, used for breast, head, neck, and shoulder procedures
Temperature Monitoring
- Temperature can be monitored with oral, rectal, axillary, tympanic (ear), and temporal artery (forehead) thermometers
Normal Temperature Values
- Normal body temperature is 98.6°F
- Hyperthermia: Abnormally high temperature above 100.4°F (38°C), may be an infection or a heat-related illness
- Hypothermia: Abnormally low temperature below 95°F (35°C), possibly from cold exposure or anesthesia
Pulse & Pressure Points
- Common pulse points include radial, carotid, brachial, femoral, popliteal, dorsalis pedis, and posterior tibial arteries
- Assessing circulation and taking blood pressure
Normal Pulse Values & Definitions
- Normal resting pulse: 60–100 bpm
- Tachycardia: Fast heart rate of over 100 bpm
- Bradycardia: Slow heart rate of under 60 bpm
- Dysrhythmia: Irregular heart rhythm
- Ventricular tachycardia: Fast, abnormal heartbeat from ventricles, life-threatening
- Ventricular fibrillation: Disorganized electrical signals, no effective pumping
- Asystole: Absence of heart activity
Respiratory Rate, Rhythm, and Breath Sounds
- Normal respiratory rate lies between 12–20 breaths per minute
- Rhythm should be regular, unlabored and have sounds that are clear
- Apnea: Temporary absence of breathing
- Dyspnea: Difficulty breathing
- Orthopnea: Difficulty breathing while lying down
- Eupnea: Normal breathing
- Cheyne-Stokes: Abnormal breathing with deep, shallow cycles
Blood Pressure Measurement
- Sphygmomanometer, stethoscope, and blood pressure cuff are used to measure blood pressure
Normal Blood Pressure
- Normal blood pressure: 120/80 mmHg
- Hypertension: High blood pressure above 140/90 mmHg, raises the risk of stroke and heart disease
- Hypotension: Low blood pressure below 90/60 mmHg, causes fainting, dizziness, and shock
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
