3 dimensions of perioperative vulnerability
- social
- psychological
- physical
antecedents of vulnerability
- surgical intervention
- admittance to hospital
- anesthesia
- prep for surgery
- exposure to stressors causing anxiety
what is the infant’s act
rules for mature minors to make their own health care decisions
categories of surgery
- emergency
- urgent
- required
- elective
- optional
5 common preoperative mediations
- benzodiazepines
- narcotics
- gastric acid blockers
- antiemetics
- antibiotics
5 types of sedation
- general
- epidural
- spinal
- topical
- procedural/moderate (conscious)
which type of sedation requires intubation
general
risks for epidural
- hypotension
- respiratory depression
risks for spinal sedation
- hypotension
- spinal headache
- intestinal and urinary disruption
- respiratory complications
what type of sedation are safer for patients with respiratory or cardiac comorbidities
epidural and spinal
2 inhaled anesthetics
- nitrous oxide
- isoflurane
what to monitor with isoflurane
RR and oxygen saturation
which inhaled anesthetic will increase the effects of muscle relaxants
isoflurane
nursing considerations of propofol
- malignant hyperthermia
- cardiac and respiratory depression
- hypotension
succinylcholine causes
skeletal muscle relaxation
what electrolyte must be monitored with use of succinylcholine
potassium (causes elevation)
malignant hyperthermia must be monitored with which anesthetics
- propofol
- succinylcholine
2 alkalinizers
- pantoprazole
- sodium citrate
which alkalinizer may cause hypomagnesia
pantoprazole
which alkalinizer may cause abnormal liver function tests
pantoprazole
which alkalinizer may antagonize the effects of antihypertensives
sodium citrate
