Perioperative 5. Benzodiazepines ( Lorazepam/ Ativan) Classification: anesthetic adjuncts‚ antianxiety agents‚ sedative hypnotics Perioperative use: Decreases preoperative anxiety and provides amnesia. Adverse reactions: APNEA‚ CARDIAC ARREST‚ bradycardia‚ hypotension. Contraindications: Severe hypotension; Sleep apnea; OB‚ Lactation: Use in pregnancy and lactation may cause CNS depression. Do not use for pt. with seizure disorders. Interactions: Additive CNS depression with other CNS depressants
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Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia Primary health care providers should play a leading role in the medical evaluation and psychological preparation of children before surgery or other procedures requiring anesthesia. The provider’s goal is to ensure that the child’s medical issues are clearly defined and that the physiologic impact and limitations imposed by each condition are well delineated. The primary care provider’s knowledge of the patient’s past medical
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thrombosis (DVT) or pulmonary embolism. SCD’s are used as prophylaxis in patient groups with low to moderate risk of DVT (Brady et al.‚ 2007‚ p. 256). Patient compliance plays a major role in the effective application of SCD’s. The Association of Perioperative Registered Nurses (2007) states: Deep venous thrombosis (DVT) and pulmonary embolus (PE) are major risk factors for patients undergoing surgical or other invasive procedures‚ and thromboprophylaxis should be considered for all these patients.
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to the case study (400 words) The post-operative patient is at risk for respiratory problems due to ineffective airway clearance related to changes in pulmonary physiology and function caused by anaesthetics‚ narcotics‚ mechanical ventilation‚ hypothermia and surgery. With increased tracheobronchial secretions secondary to the effects of anaesthesia‚ combined with ineffective coughing‚ and decreased functions of the mucociliary clearance mechanism. (Monahan‚ Neighbors‚ & Green‚ 2011) Oxygen is
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standpoint of the medical field‚ i’ve wanted to be an anesthesiologist since the 6th grade. Physician anesthesiologists are the most qualified to make anesthesia related perioperative medical decisions. Perioperative generally meaning the three phases of surgery: preoperative‚ intraoperative‚ and postoperative. The main goal of perioperative care is to provide better conditions for patients before‚ during‚ and after a operation. There are mainly 2 types of
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inpatient side‚ the early use of PQRS and now value based purchasing has improved patient outcomes. Guidelines such as SCIP has also improved perioperative outcomes. As Weston (2013) discussed‚ “The Surgical Care Improvement Project (SCIP) started in 2006 as a core measure to reduce perioperative morbidity and mortality‚ with many measures addressing perioperative antibiotic usage and timing” p.424. I have personally seen these measures put into practice with improve antibiotic stewardship and out comes
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Lauren March 1‚ 2013 Evidence Based Practice Task #3 Routine Perioperative Practice Research Perioperative routine practices vary from state to state and even facility to facility. It is important for the surgical nurse to be well versed in perioperative procedures and constantly question the effectiveness and positive/negative outcomes related to each one. Several preoperative procedures take place on the surgical unit of my hospital‚ and after research and discussions with surgeons‚ I
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Stages of Hypothermia In the short story “As Freezing Persons Recollect the Snow - First Chill - Then Stupor – Then the Letting Go” the author Stark describes the stages of hypothermia well by using very descriptive words. Stark uses a few convincing‚ passionate‚ and capably enlightening words to make this experience just more sensible. As the reader hearing the word hypothermia triggers a sense of interest. He knows how to keep you on the edge of your seat wondering what will happen to the character’s
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organs start to fall flat and clinical intervention is required. There are some humans that are more prone to developing hypothermia‚ for example‚ if the person were underweight; they would have a lack of tissue mass. Those undergoing surgery and having a merged general and spinal anesthesia are also at greater risk of developing hypothermia (Welch‚ 2002). Other causes of hypothermia include metabolic issues that are connected to a diminished basal metabolic rate. This can be identified with dysfunction
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the body’s heat production and heat loss tips toward heat loss for a prolonged period‚ hypothermia can occur. Hypothermia usually happens after cold temperature exposure without enough warm‚ dry clothing for protection. Mountain climbers on Mount Everest avoid hypothermia by wearing specialized‚ high-tech gear designed for that windy‚ icy environment. However‚ much milder environments can also lead to hypothermia‚ depending on a person’s age‚ body mass‚ body fat‚ overall health‚ and length of time
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