Unit 1 Exam - Advanced Med-Surg - Questions and Answers Major reaction / adverse event to receiving Anesthesia Malignant Hyperthermia How to treat
... [Show More] Malignant Hyperthermia - Gold standard of treatment is Dantrolene - Stopping anesthesia - Providing 100% oxygenation - Applying cold compresses and administering chilled IV fluids What should you assess every patient for? Allergies Potassium Range 3.5-5 Magnesium Range 1.5-2.5 Sodium Range 135-145 Platelet Range 150,000-400,000 Hgb Range 11.7-17.3 WBC Range 4000-11000/uL Creatinine range 0.6-1.2 ABG pH Range 7.35-7.45 ABG PaO2 range 80-100 mmHg ABG PaCO2 range 35-45 mmHg ABG HCO3 range 22-26 What are the requirements for Informed Consent? - Adequate disclose - Clear understanding - Voluntary Who is the one that obtains consent from the patient? The provider who is performing the procedure What is the nurse's role in obtaining consent? Being a legal witness Legal Representatives can provide consent under what circumstances? - Patient is a minor - Patient is unconscious - Patient is mentally incapable of making the decision When can a minor provide consent? If they are emancipated When can consent be superseded? - Life threatening emergencies If a patient has been given anesthesia, but needs to use the restroom, what is the most appropriate action and why? Provide them a bed pan Rationale: Once anesthesia has been administered, the patient is considered a fall risk What are the roles of the Circulating Nurse? - Remain in the unsterile field - Facilitate the progress of the procedure - Maintain proper documentation When should patient confirmation take place and what is the best way to do so? In the waiting area prior to the procedure. Identify them using their wristband and confirming their name and date of birth. What are some safety considerations for perioperative patient positioning regarding the operating site? Accessibility of the operating site - Maintaining a patent airway - Correct skeletal alignment - Prevent occlusion of arteries / veins - Provide adequate coverage to maintain dignity - Remember that patient won't feel pain/discomfort due to anesthesia What are the actions that take place during Universal Protocol (Surgical Time Out) [Show Less]