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Perioperative nursing


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Perioperative nursing

  1. 1. PREOPRATIVE PHASE – begins with the decision to perform surgery and ends with the client’s transfer to the operating room.
  2. 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. 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. 4. OPTIONAL SURGERY – done totally at the client’s discretion  EXAMPLE: Cosmetic surgery
  5. 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. 6. REQUIRED SURGERY – warranted for conditions necessitating intervention within the few weeks.  EXAMPLE: Cataract Surgery, Thyroid Disorders
  7. 7. URGENT/IMPERATIVE SURGERY – indicated for a problem requiring intervention within 24 to 48 hours  EXAMPLE: Acute Gallbladder Infection, Appendicitis, Kidney Stones
  8. 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. 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. 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. 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. 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)