Podcast
Questions and Answers
What is an essential action during the pre-operative preparation phase?
What is an essential action during the pre-operative preparation phase?
- Monitor the patient's respiratory rate
- Complete the checklist for post-operative care
- Ensure that patient identifiers are correct (correct)
- Educate the patient about pain management post-surgery
Which assessment is crucial for determining surgical risk in patients?
Which assessment is crucial for determining surgical risk in patients?
- Their dietary preferences
- Their last intake and output (correct)
- Their level of physical fitness
- Their favorite type of anesthesia
In post-operative management, which of the following is a priority?
In post-operative management, which of the following is a priority?
- Monitor blood glucose levels
- Administer prophylactic antibiotics
- Ensure the patient is comfortable (correct)
- Begin physical therapy sessions
What component is critical to discuss with the patient during pre-operative teaching?
What component is critical to discuss with the patient during pre-operative teaching?
Which of these actions is NOT part of the pre-operative assessment?
Which of these actions is NOT part of the pre-operative assessment?
During the post-operative phase, what should be monitored aside from vital signs?
During the post-operative phase, what should be monitored aside from vital signs?
Which of the following is a primary risk factor mentioned for surgical procedures?
Which of the following is a primary risk factor mentioned for surgical procedures?
What is the primary aim of conducting a patient assessment prior to surgery?
What is the primary aim of conducting a patient assessment prior to surgery?
What is the normal range for pH in arterial blood gas analysis?
What is the normal range for pH in arterial blood gas analysis?
Which of the following represents the normal range for partial pressure of carbon dioxide (paCO2)?
Which of the following represents the normal range for partial pressure of carbon dioxide (paCO2)?
What is the normal range for bicarbonate (HCO3) levels in arterial blood gas analysis?
What is the normal range for bicarbonate (HCO3) levels in arterial blood gas analysis?
Which of the following values would indicate potential respiratory acidosis when looking at arterial blood gas results?
Which of the following values would indicate potential respiratory acidosis when looking at arterial blood gas results?
What does a low pH value (below 7.35) indicate in arterial blood gas analysis?
What does a low pH value (below 7.35) indicate in arterial blood gas analysis?
What potential complication should be monitored when managing a patient with parenteral nutrition?
What potential complication should be monitored when managing a patient with parenteral nutrition?
What is a critical action to take if a new bag of TPN is not ready before the current one runs out?
What is a critical action to take if a new bag of TPN is not ready before the current one runs out?
Which of the following is NOT a reason a patient might require infusion therapy?
Which of the following is NOT a reason a patient might require infusion therapy?
In the context of parenteral nutrition, what does 'FVO' stand for?
In the context of parenteral nutrition, what does 'FVO' stand for?
What is a primary goal when monitoring a patient receiving TPN?
What is a primary goal when monitoring a patient receiving TPN?
Which complication involves localized swelling and pain at the IV site during parenteral nutrition?
Which complication involves localized swelling and pain at the IV site during parenteral nutrition?
When initiating parenteral nutrition, what aspect of patient monitoring is considered critical?
When initiating parenteral nutrition, what aspect of patient monitoring is considered critical?
What should be the focus when educating a patient about the reasons for requiring infusion therapy?
What should be the focus when educating a patient about the reasons for requiring infusion therapy?
What is a key action to take to prevent complications related to central lines?
What is a key action to take to prevent complications related to central lines?
What should be ensured regarding the central line dressing and cleaning?
What should be ensured regarding the central line dressing and cleaning?
Which of the following actions is NOT part of preventing complications from central lines?
Which of the following actions is NOT part of preventing complications from central lines?
What does proper hand hygiene help prevent in the context of central lines?
What does proper hand hygiene help prevent in the context of central lines?
When should the tubing of a central line be changed?
When should the tubing of a central line be changed?
Which of the following signs would NOT indicate a need for immediate clinical attention in central line management?
Which of the following signs would NOT indicate a need for immediate clinical attention in central line management?
Which best describes why regular monitoring is vital for patients with central lines?
Which best describes why regular monitoring is vital for patients with central lines?
What is a common misconception regarding hand hygiene when dealing with central lines?
What is a common misconception regarding hand hygiene when dealing with central lines?
What is the primary function of the kidneys in maintaining acid-base balance?
What is the primary function of the kidneys in maintaining acid-base balance?
Which of the following statements about chemical buffers is true?
Which of the following statements about chemical buffers is true?
What role do lungs play in acid-base balance?
What role do lungs play in acid-base balance?
Which buffer is primarily responsible for controlling pH in blood and interstitial fluid?
Which buffer is primarily responsible for controlling pH in blood and interstitial fluid?
What mechanism do kidneys use to lower blood pH?
What mechanism do kidneys use to lower blood pH?
In which part of the body are phosphate buffers primarily found?
In which part of the body are phosphate buffers primarily found?
What happens to blood pH when kidneys retain bicarbonate?
What happens to blood pH when kidneys retain bicarbonate?
Which of the following is a characteristic of bicarbonate as a buffer?
Which of the following is a characteristic of bicarbonate as a buffer?
What condition can lead to alveolar pneumonia?
What condition can lead to alveolar pneumonia?
Which of the following is associated with hyperventilation?
Which of the following is associated with hyperventilation?
What is a common symptom of pulmonary embolism?
What is a common symptom of pulmonary embolism?
Which treatment is recommended for the removal of causative agents in respiratory distress?
Which treatment is recommended for the removal of causative agents in respiratory distress?
Which of these can cause a decrease in responsiveness?
Which of these can cause a decrease in responsiveness?
What can result from metabolic acidosis?
What can result from metabolic acidosis?
What is NOT a treatment for hyperventilation?
What is NOT a treatment for hyperventilation?
Which factor is associated with decreased concentration?
Which factor is associated with decreased concentration?
What is a common symptom of lightheadedness?
What is a common symptom of lightheadedness?
Which of the following can cause pulmonary infection?
Which of the following can cause pulmonary infection?
Which symptom is associated with pulmonary edema?
Which symptom is associated with pulmonary edema?
Which of these conditions is an autoimmune disease?
Which of these conditions is an autoimmune disease?
What is one available therapy for metabolic alkalosis?
What is one available therapy for metabolic alkalosis?
What can cause pulmonary hyperventilation?
What can cause pulmonary hyperventilation?
Flashcards
What is parenteral nutrition (PN)?
What is parenteral nutrition (PN)?
A type of intravenous therapy used to provide nourishment when patients can't consume enough food orally.
What is a hematoma?
What is a hematoma?
A collection of blood outside of a blood vessel, often appearing as a bruise.
What is phlebitis?
What is phlebitis?
Inflammation of a vein, often caused by irritation from a catheter or medication.
What is an embolus?
What is an embolus?
Signup and view all the flashcards
What is FVO (Fluid Volume Overload)?
What is FVO (Fluid Volume Overload)?
Signup and view all the flashcards
What is an infusion?
What is an infusion?
Signup and view all the flashcards
What is infiltration?
What is infiltration?
Signup and view all the flashcards
What is extravasation?
What is extravasation?
Signup and view all the flashcards
Patient tolerance
Patient tolerance
Signup and view all the flashcards
Patient education
Patient education
Signup and view all the flashcards
Central line patency
Central line patency
Signup and view all the flashcards
Proper hand hygiene
Proper hand hygiene
Signup and view all the flashcards
Ensuring clean area around central line
Ensuring clean area around central line
Signup and view all the flashcards
Scrubbing the hub
Scrubbing the hub
Signup and view all the flashcards
Signs of central line inaction, infiltration, phlebitis, hematoma, and embolism
Signs of central line inaction, infiltration, phlebitis, hematoma, and embolism
Signup and view all the flashcards
Changing tubing as needed
Changing tubing as needed
Signup and view all the flashcards
Acid-base balance
Acid-base balance
Signup and view all the flashcards
Kidneys and Lungs
Kidneys and Lungs
Signup and view all the flashcards
How do kidneys maintain acid-base balance?
How do kidneys maintain acid-base balance?
Signup and view all the flashcards
How do lungs maintain acid-base balance?
How do lungs maintain acid-base balance?
Signup and view all the flashcards
Excretion
Excretion
Signup and view all the flashcards
Chemical buffer
Chemical buffer
Signup and view all the flashcards
Bicarbonate buffer
Bicarbonate buffer
Signup and view all the flashcards
Phosphate buffer
Phosphate buffer
Signup and view all the flashcards
Blood pH
Blood pH
Signup and view all the flashcards
PaCO2
PaCO2
Signup and view all the flashcards
HCO3
HCO3
Signup and view all the flashcards
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG)
Signup and view all the flashcards
Oxygen Saturation (SaO2)
Oxygen Saturation (SaO2)
Signup and view all the flashcards
What is a pre-operative assessment?
What is a pre-operative assessment?
Signup and view all the flashcards
What is post-operative monitoring?
What is post-operative monitoring?
Signup and view all the flashcards
What is post-operative management?
What is post-operative management?
Signup and view all the flashcards
What is a pre-operative checklist?
What is a pre-operative checklist?
Signup and view all the flashcards
What is pre-operative paperwork?
What is pre-operative paperwork?
Signup and view all the flashcards
What is pre-operative safety?
What is pre-operative safety?
Signup and view all the flashcards
What is pre-operative bowel and bladder prep?
What is pre-operative bowel and bladder prep?
Signup and view all the flashcards
What is pre-operative skin prep?
What is pre-operative skin prep?
Signup and view all the flashcards
Decreased PaCO2
Decreased PaCO2
Signup and view all the flashcards
Pulmonary edema
Pulmonary edema
Signup and view all the flashcards
Hypoventilation
Hypoventilation
Signup and view all the flashcards
Hyperventilation
Hyperventilation
Signup and view all the flashcards
Pulmonary emboli
Pulmonary emboli
Signup and view all the flashcards
CNS injury (Head trauma)
CNS injury (Head trauma)
Signup and view all the flashcards
Oversedation/Anesthesia
Oversedation/Anesthesia
Signup and view all the flashcards
Gram-negative septicemia
Gram-negative septicemia
Signup and view all the flashcards
Thyroid toxicity
Thyroid toxicity
Signup and view all the flashcards
Pneumonia
Pneumonia
Signup and view all the flashcards
Myasthenia Gravis
Myasthenia Gravis
Signup and view all the flashcards
Metabolic acidosis
Metabolic acidosis
Signup and view all the flashcards
Metabolic alkalosis
Metabolic alkalosis
Signup and view all the flashcards
Hypercapnia
Hypercapnia
Signup and view all the flashcards
Treatment for decreased PaCO2
Treatment for decreased PaCO2
Signup and view all the flashcards
Study Notes
Test Plan One
- Parenteral Nutrition Management: Monitor patients for complications like infection, infiltration, evisceration, hematoma, phlebitis, emboli, and fluid volume overload (FVO). If a new TPN bag isn't ready, hang 10% dextrose in water to prevent hypoglycemia.
Reasons for Infusion Therapy
- Fluid and Electrolyte (F&E) Replacement: Essential for restoring balance.
- Medication Administration: Delivering drugs intravenously.
- Blood Product Administration: Transfusing blood or blood components.
- Nutritional Support: Providing nutrients via intravenous fluids.
- Major IV Solutions: These include crystallòids and colloids, fulfilling various needs.
- Crystalloids: Electrolytes dissolved in water (e.g., dextrose, sodium chloride, balanced electrolyte solutions, alkalizing/acidifying solutions).
- Colloids: Large molecules (e.g., proteins or starches in fluids), used for volume expansion.
Safe and Effective Venipuncture
- Review Order: Ensures patient safety and the correct steps.
- Pt. Preparation: Check patient identification, thoroughly explain procedure.
- Gather Supplies and Equipment: Includes catheters, tubes, pumps, and sterile materials.
- Hand Hygiene and Gloves: Essential for minimizing infection risk .
- Positioning for Comfort: Securely place the patient and use appropriate padding.
- Site Selection: Choose a suitable vein.
- Site Cleaning: Properly clean the puncture area for sterile access.
- Tourniquet Placement: Apply proximal to the venipuncture site.
- Venipuncture Technique: Insert the catheter to obtain access.
- Catheter Advancement: If a flashback occurs, advance the catheter further for better circulation.
- Release Tourniquet: After catheter insertion, release the tourniquet.
- Attach Primed Tubing: Securely attach the IV solution tubing to the catheter.
- Dressing Application: Cover the site with a sterile dressing.
- Disposal of Supplies: Dispose of used materials.
- Hand Hygiene: Clean hands once more to prevent spread of infections.
- Post-procedure Assessment: Assess the patient's condition after the procedure.
Preventing IV Complications
- Hand Hygiene: Essential for preventing pathogen transmission.
- Patient Care: Ensure the patient is getting daily care.
- Environment: Maintain a clean and sterile environment.
- Monitoring: Watch for infections, infiltration, or emboli.
- Tubing Changes: Replace tubing as necessary.
Acid-Base Balance
- Kidneys and Lungs: Regulate pH by excreting or retaining CO2.
- Chemical Buffers:
- Bicarbonate Buffer: Maintains pH in blood and interstitial fluids.
- Phosphate Buffer: Effective in renal tubules.
- Protein Buffer: The most abundant in cells; neutralizes acids and bases.
Fluid Volume Excess (FVE) Symptoms
- Edema: Swelling in various body areas.
- Bounding Pulse: A strong, forceful pulse.
- Distended Veins: Visible bulging in veins.
- Wet Lung Sounds: Abnormal sounds during auscultation.
- Increased Respiratory Rate: Faster breathing rate.
- Increased Heart Rate: Accelerated heartbeats.
- Increased Blood Pressure: Elevated blood pressure values.
- Weight Gain: Increased body mass.
- Other Symptoms: Thirst, shortness of breath.
Fluid Volume Deficit (FVD) Symptoms
- Dehydration: Significant fluid loss.
- Dry Skin and Mucous Membranes: A noticeable lack of moisture.
- Poor Skin Turgor: Skin elasticity is reduced.
- Decreased Blood Pressure: Lowered pressure readings.
- Increased Heart Rate: Rapid heart rate.
- **Decreased Urine Output:**Reduced urine production.
- Weight Loss: Significant decrease in body mass.
- Changes in Mental Status: Confusion or lethargy.
Fluid Volume Management
- FVE Management: Restrict fluids and sodium, assess for edema and administer diuretics.
- FVD Management: Encourage oral fluids if possible, administer isotonic solutions (like Lactated Ringer's (LR) or Normal Saline (NS)) if not and closely monitor the patient.
Safe and Effective IV Fluid Management
- Patient Verification: Verify patient details.
- Proper Fluid Administration: Ensure proper administration rate.
- Fluid Labels: Label appropriately for patient and time of use.
- Tubing Changes: Change tubing when necessary.
- Pump Settings: Ensure pump settings are appropriate.
- Carefully Monitor IV Lines: Watch for complications or issues.
Interpreting ABGs
- Normal Values: pH (7.35-7.45), PaCO2 (35-45 mmHg), HCO3 (22-26 mEq/L), and SaO2 (95-100%).
Acid-Base Imbalances
- Respiratory Acidosis: Low pH, elevated PaCO2, caused by hypoventilation. Underlying issues include COPD, asthma, and trauma.
- Respiratory Alkalosis: Elevated pH, decreased PaCO2, often resulting from hyperventilation. Potential causes include anxiety or fever, and some medications
- Metabolic Acidosis: Low pH, low HCO3, triggered by conditions like DKA, diarrhea, renal failure, or shock. Treatment includes fluid and electrolyte replacement and correction of the root cause.
- Metabolic Alkalosis: High pH, high HCO3, frequently linked to vomiting, excessive antacids, or diuretic use. Treatment centers on addressing the underlying cause (vomiting, medication effects).
Surgical Risk Factors
- Patient History: Medical history, allergies, current medications, and tobacco use.
Post-Operative Management
- Vitals: Monitor vital signs.
- Pain Management: Administer pain medication.
- Nausea Management: Administer antiemetics.
- Education: Teach patients about their condition and recovery.
Pre-Operative Preparation
- Complete Checklist: Fulfill required steps for a safe operation.
- Gather necessary information: Collect paperwork, and history, etc..
- Pre-op orders: Follow the doctor's instructions and fulfill requests.
- Verify patient identity: Confirm patient details to prevent errors.
- Complete assessments: Fully evaluate patient's status.
- Prepare pt. for surgery: Ensure the patient is adequately prepared, and all necessary steps have been followed.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.