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Cut Me Open Help Me Heal Send Me Home Help I’m Dying Add It Up 1pt

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Presentation on theme: "Cut Me Open Help Me Heal Send Me Home Help I’m Dying Add It Up 1pt"— Presentation transcript:

1 Cut Me Open Help Me Heal Send Me Home Help I’m Dying Add It Up 1pt 1 pt 1 pt 1pt 1 pt 2 pt 2 pt 2pt 2pt 2 pt 3 pt 3 pt 3 pt 3 pt 3 pt 4 pt 4 pt 4pt 4 pt 4pt 5pt 5 pt 5 pt 5 pt 5 pt

2 Ectomy, Otomy, Plasty, Lysis

3 What are suffixes for types of surgical Procedures?

4 If I don’t tell you that I am taking this substance before surgery, then I may shake, rattle, and roll after surgery

5 What is Alcohol (ETOH)?

6 It is my responsibility to explain the surgical procedure, risks, benefits, and complications to the patient to get informed consent

7 Who is the Surgeon?

8 Patient Safety in the OR
My role includes assuring Patient Safety in the OR and responsible for Documentation

9 Who is the Circulating Nurse?

10 Retention bridge (bars)
Absorbable sutures Non-absorbable Staples Retention bridge (bars) Steri-strips

11 What are types of Skin Closures?

12 Monitor my O2 Saturation, color, respirations, and EMV score to
prevent this post operative complication

13 What is Hypoxemia or Hypoventilation?

14 Early Ambulation Incentive Spirometer Flutter Valve

15 What are measures to increase deep breathing or prevent pneumonia?

16 Redness and tenderness in the calf area

17 What is a Deep Vein Thrombosis?

18 Heparin 5000 units administered subcutaneously

19 What is the medication given to prevent a DVT?

20 See distention, absent bowel sounds, diffuse abdominal discomfort, no flatus, no stool.

21 What is a Paralytic Ileus?

22 Call for a temperature above 101.5 Watch for redness or draining
Take pain medications as needed

23 What are Discharge Instructions?

24 This person is obese, had abdominal surgery and is a Diabetic

25 Eleanor M. Savko 5/7/2018 Who is at Risk For Wound Dehiscence?

26 Systematic process for preparing the patient to leave the healthcare setting and maintaining continuity of care

27 What is Discharge Teaching?

28 Assess patient’s needs Identify problems
Develop mutual goals, short and long term Coordinate home services TEACHING

29 What is the Role of the Nurse In Discharge Planning?

30 Lack of Understanding of
Reasons include Cost Dissatisfaction Lack of Understanding of Healthcare Plan

31 Against Medical Advice
What are Reasons A Patient May leave Against Medical Advice (AMA)

32 Life expectancy less than 6 months
Focus is on Symptom Management and family guidance

33 What is Hospice Care?

34 Restlessness Anorexia Dyspnea Nausea/Vomiting Secretions

35 What are End of Life Symptoms?

36 Patient is unaware of terminal state, whereas others are aware

37 What is Closed Awareness?

38 Breathing Pattern seen here:

39 What is CHEYNE STOKES?

40 Use Haldol Phenergan Zofran Reglan Scopolamine

41 What are Medications for Nausea, Vomiting, and Anorexia?

42 D5 ½ NS to run at 80ml/hr. Tubing labeled 15gtts/ml.

43 What is 20 ml’s?

44 1000 D51/2 NS with 40 meq KCL over 12 hours.
Rate on pump?

45 What is 83 ml/hr?

46 to receive Ampicillin 10mg/kg. How many mg?
130 pound patient to receive Ampicillin 10mg/kg. How many mg?

47 What is 590 mg?

48 Give: 250,000 units Penicillin IV
Have: 1,000,000 units/10ml. How many ml’s

49 What is 4ml’s?

50 Adriamycin (Doxorubicin) 75mg/mc2.
(BSA 1.65)

51 What is 123.8mg


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