Reflection of Peri Operative Placement
Learning objectives and rationale Plan to achieve objectives Final evaluation
Performing pre- operative surgical checklist to check consent, correct procedure and site and to avoid any mistakes. Pre-op check as per the checklist with preceptor Performed full pre- operative checklist.
Participating in surgical count to avoid any items being left inside the patient Get familiar with instruments. Participated in surgical count with some assistance.
Collection of specimen, for further investigation. Read the hospital policy for collection of specimen. Collected specimen of skin lesion.
Take full care of a patient in PACU to provide full nursing care. Conduct full head to toe assessment and documentations while providing safe care to the patient Provided full nursing care to patient from arrival at PACU until discharge.
Propofol –Exerts its sedative-hypnotic effects through GABA receptor interaction. GABA is the principle inhibitory neurotransmitter in the CNS (Bryant & Knights, 2011, p. 264). Adverse effects like hypotension, transient apnoea and bradycardia. IV dose for adults and children over 3 years is 2-2.5mg/Kg (Bryant & Knights, 2011, p. 264). In theatre it was used for induction and maintenance of GA and conscious sedation.
Ephedrine –It stimulates the release of noradrenalin from presynaptic nerve terminals, also acting directly on the alpha and beta-adrenoreceptors (Bryant & Knights, 2011, p. 216). Adverse effects palpitations, bradycardia and angina. Adult dosage 10-15mg and children dosage 3mg/kg/day (Bryant & Knights, 2011, p. 216). Ephedrine was administered to patient with blood pressure of 85/45 post spinal-anaesthesia.
Parecoxib – Parecoxib converts to valdecoxib after administration, inhibits COX-2 and reduces production of prostaglandins that are mediators of inflammation and pain. Adverse effects like nausea, anaemia and hypotension (Parecoxib, 2013). Adult dosage is 40mg and not recommended for children (Parecoxib, 2013). It was
Performing pre- operative surgical checklist to check consent, correct procedure and site and to avoid any mistakes. Pre-op check as per the checklist with preceptor Performed full pre- operative checklist.
Participating in surgical count to avoid any items being left inside the patient Get familiar with instruments. Participated in surgical count with some assistance.
Collection of specimen, for further investigation. Read the hospital policy for collection of specimen. Collected specimen of skin lesion.
Take full care of a patient in PACU to provide full nursing care. Conduct full head to toe assessment and documentations while providing safe care to the patient Provided full nursing care to patient from arrival at PACU until discharge.
Propofol –Exerts its sedative-hypnotic effects through GABA receptor interaction. GABA is the principle inhibitory neurotransmitter in the CNS (Bryant & Knights, 2011, p. 264). Adverse effects like hypotension, transient apnoea and bradycardia. IV dose for adults and children over 3 years is 2-2.5mg/Kg (Bryant & Knights, 2011, p. 264). In theatre it was used for induction and maintenance of GA and conscious sedation.
Ephedrine –It stimulates the release of noradrenalin from presynaptic nerve terminals, also acting directly on the alpha and beta-adrenoreceptors (Bryant & Knights, 2011, p. 216). Adverse effects palpitations, bradycardia and angina. Adult dosage 10-15mg and children dosage 3mg/kg/day (Bryant & Knights, 2011, p. 216). Ephedrine was administered to patient with blood pressure of 85/45 post spinal-anaesthesia.
Parecoxib – Parecoxib converts to valdecoxib after administration, inhibits COX-2 and reduces production of prostaglandins that are mediators of inflammation and pain. Adverse effects like nausea, anaemia and hypotension (Parecoxib, 2013). Adult dosage is 40mg and not recommended for children (Parecoxib, 2013). It was