1
Q
5 things you would do prior to commencing assessment:
A
- Wash hands
- Identify the patient
- Collect paperwork
- Identify yourself
- Provide privacy
2
Q
ASK at the commencement of assessment:
A
- DOB
- Allergies
- Address
- What procedure he/she is having done
- Who is his/hers next of kin
3
Q
What is the minimum time a person should be Nil by mouth prior to surgery for the following:
A
Clear fluids: 2 hours
Solid fluids: 4 hours
4
Q
Why do we need to know ample?
A
A - Determine if reaction or side effects
M - May indicate existing illnesses which patient forgets
P - May require specific interventions
L - Know when the patient can go to theatre
E - What caused the problem? Is it new?
5
Q
Why do we need to know what medications he/she is on:
A
- Important to know what medications so changes can be monitored under anaesthetic.
- Awareness should also highlight need to closer monitoring of body systems.
6
Q
5 medical conditions that could occur intraop:
A
- Hypoxia: Airway management and 02 deprivation
- Hypotension: Due to agents use for and during anaesthesia
- Hypothermia: Due to length of time on table and exposure
- Hypovolemia: Due to blood loss in theatre
- Anaphlylactic reaction: Latex, agents used and medications
7
Q
Glasgow coma scale (3 assessment steps):
A
- Best verbal response
- Best motor response
- Eye opening response
8
Q
Operation different from children - adults:
A
- Increased parental involvement
- Medications worked on weight
- Smaller doses of medications
- Explain things in terms that children understand
- Parent go to theatre with child and are in recovery when they wake up
