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Perioperative Nursing
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Perioperative Nursing

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  • 1. PREOPRATIVE PHASE – begins with the decision to perform surgery and ends with the client’s transfer to the operating room.
  • 2. INTRAOPERATIVE PHASE – begins when the client is received in the operating room and ends with his administration to the post anesthesia care unit
  • 3. POST OPERATIVE PHASE – begins when the client is admitted to the post anesthesia care unit and extend through follow up home or clinic evaluation
  • 4. OPTIONAL SURGERY – done totally at the client’s discretion  EXAMPLE: Cosmetic surgery
  • 5. ELECTIVE SURGERY – refers to procedures that are scheduled at the client’s convenience  EXAMPLE: Cyst Removal. Repair of Scars, Simple Hernia, and Vaginal Repair
  • 6. REQUIRED SURGERY – warranted for conditions necessitating intervention within the few weeks.  EXAMPLE: Cataract Surgery, Thyroid Disorders
  • 7. URGENT/IMPERATIVE SURGERY – indicated for a problem requiring intervention within 24 to 48 hours  EXAMPLE: Acute Gallbladder Infection, Appendicitis, Kidney Stones
  • 8. EMERGENCY SURGERY – describes procedures that must be done immediately to sustain life or maintain function  EXAMPLE: Repair of a Ruptured Aneurysm, Gunshot or Knife Wound, Extensive Burns, Fractured Skull
  • 9.  GENERAL ANESTHESIA – inhaled or IV refers to drug induced depression of the central nervous system that produces analgesia, amnesia, and unconsciousness. Affects the whole body  STAGE I: beginning  STAGE II: excitement  STAGE III: surgical anesthesia  STAGE IV: danger
  • 10.  REGIONAL ANESTHESIA – form of local anesthesia that suspends sensation and motion in a body region or part; the client remains awake. Continuous monitoring is required. Differs in terms of location and size of the anatomic area anesthetisized and the volume and type of anesthetic agent used.
  • 11.  SPINAL ANESTHESIA – local anesthesia injected into the subarachnoid space at the lumbar level to block nerves and suspend sensation and motion to the lower extremities, perineum, and lower abdomen.
  • 12.  CONDUCTION BLOCKS – sensation and motion within various groups of nerves, such as epidural block (dura mater), brachial plexus block (arm), paravertebral block (chest, abdominal wall, and extremities) and transsacral/caudal block (perineum)