,Herbal supplements that may increase bleeding - ANSWER feverfew, garlic,
ginger, ginko biloba, ginseng, vitamin E
** if pt takes these have hemostatic supplies on hand
Herbal supplements that may cause liver inflammation - ANSWER Echinacea,
kava
- anticipate increased bleeding
- have hemostatic supplies on hand
- anticipate delayed induction and/or prolonged emergence
Herbal supplements that may elevate blood pressure - ANSWER Goldenseal,
licorice
- anticipate increased bleeding
- have hemostatic supplies on hand
Herbal supplements that may prolong the effects of anesthesia - ANSWER
Kava, St John's Wort, valerian
- anticipate delayed emergence
3 tenets of radiation safety - ANSWER time, distance and shielding
, 3 elements of fire triangle - ANSWER 1. ignition source (Electrosurgical unit,
laste)
2. oxygen
3. fuel (drapes, sponges...)
when should intermittent pneumatic compression devices be
applied/functioning? - ANSWER before the administration of regional or
general anesthesia
Durring Head, face, neck and upper chest surgery, when should you stop
supplimental oxygen? - ANSWER stop supplemental oxygen at least one
minute before and durig the use of electrocautery, electrosurgery or laser use if
possible.
Durring Head, face, neck and upper chest surgery, what should you do to reduce
risk of fire? - ANSWER - water-mist or carbon dioxide fire extinguishers are
immediately available in the OR or procedure room
-
How should patients weighing more than 157lbs be transferred? - ANSWER
Laterally transferred to the OR bed using a mechanical lifting device by three
caregivers plus the anesthesia professional
Shearing - ANSWER sliding of skin and subcutaneous tissue over stationary
muscle.
what type of positioning can cause shearing? - ANSWER trendelenburg
, Friction - ANSWER the act of rubbing one tissue over another tissue or
surface
how might friction injuries occur? - ANSWER if the patient is dragged from
one surface to another without using a friction reducing transfer devise
How should pregnant women be positioned for an emergency laparotomy and
why? - ANSWER wedge under the Right Side - to take pressure of the vena
cava
During the induction of anesthesia, the periop nurse may notice fasciculation
(twitch) as a response to what depolarizing muscle relaxant? - ANSWER
Succinylcholine chloride (Anectine)
What is the only depolarizing muscle relaxant still in use? - ANSWER
Succinylcholine chloride (Anectine)
Spaulding Classification system - Critical items - ANSWER - must be sterile
- enter sterile tissue
- Ex: all instruments, endoscopic accessories, urinary catheters
Spaulding Classification system - Semi - Critical items - ANSWER - Should be
sterile but HIGH level disinfection is acceptable
- items that come in contact with broken skin of mucous membrane
- Ex: respiratory therapy/ anesthesia equipment, bronchoscopes, GI scopes
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