The document discusses preoperative, intraoperative, and postoperative care for surgical patients. The preoperative phase includes assessing the patient's medical history and preparing them for surgery. Intraoperatively, the surgical team provides anesthesia and monitors the patient's vital signs. Postoperatively, patients are recovered in the PACU and nurses focus on respiratory, cardiovascular and other body functions as well as wound healing. Potential postoperative complications like pneumonia, hemorrhage, and infection are also outlined.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
Preoperative and postoperative Nursing care(ayoub ) for presentation Ayoub Abdul Majeed
Photo: Pre and post-operative care
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence-based care as well as support to the individual
Peri-operative Nursing/Anesthesia/Pain ManagementWasim Ak
The care provide during surgical intervention (pre-operative, intra-operative and post-operative period) is known as Peri-operative Nursing Care.
Peri-operative Nursing Care includes :
Pre-operative Nursing Care
Intra-operative Nursing Care
Post-operative Nursing Care.
Anesthesia means “loss of sensation with or without loss of consciousness” .
Medications that cause anaesthesia, are called Anesthetics.
Anesthesia is defined as a temporary state consisting of unconsciousness, loss of memory, lack of pain, and muscle relaxation.
Anesthesia is defined as a loss of feeling or awareness caused by drugs or other substances which keeps patient free from feeling pain during surgery or other procedures.
Management Of Patient Undergoing Surgerykalyan kumar
Preoperative care refers to health care provided before a surgical operation. The aim of preoperative care is to do whatever is right to increase the success of the surgery.
At some point before the operation the health care provider will assess the fitness of the person to have surgery.
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence based care as well as support to the individual.
There are different nursing roles throughout the perioperative process including: admissions nurse, anaesthetic nurse, circulating nurse or scout nurse, instrument or scrub nurse, post anaesthesia care unit (PACU) nurse and the surgical ward nurse. Other nurses may be included in the perioperative process such as pain management specialist nurses, diabetes educators.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
Preoperative and postoperative Nursing care(ayoub ) for presentation Ayoub Abdul Majeed
Photo: Pre and post-operative care
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence-based care as well as support to the individual
Peri-operative Nursing/Anesthesia/Pain ManagementWasim Ak
The care provide during surgical intervention (pre-operative, intra-operative and post-operative period) is known as Peri-operative Nursing Care.
Peri-operative Nursing Care includes :
Pre-operative Nursing Care
Intra-operative Nursing Care
Post-operative Nursing Care.
Anesthesia means “loss of sensation with or without loss of consciousness” .
Medications that cause anaesthesia, are called Anesthetics.
Anesthesia is defined as a temporary state consisting of unconsciousness, loss of memory, lack of pain, and muscle relaxation.
Anesthesia is defined as a loss of feeling or awareness caused by drugs or other substances which keeps patient free from feeling pain during surgery or other procedures.
Management Of Patient Undergoing Surgerykalyan kumar
Preoperative care refers to health care provided before a surgical operation. The aim of preoperative care is to do whatever is right to increase the success of the surgery.
At some point before the operation the health care provider will assess the fitness of the person to have surgery.
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence based care as well as support to the individual.
There are different nursing roles throughout the perioperative process including: admissions nurse, anaesthetic nurse, circulating nurse or scout nurse, instrument or scrub nurse, post anaesthesia care unit (PACU) nurse and the surgical ward nurse. Other nurses may be included in the perioperative process such as pain management specialist nurses, diabetes educators.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
7. The intraoperative phase is the period during
which the patient is undergoing surgery in the
operative room
It ends when the patient is transferred to the
post anesthesia room
8. The postoperative phase lasts from the
patient’s admission to the recovery room
through the complete recovery from the
surgery.
After the patient ‘s condition has been
stabilized in the recovery room ,a physician
will order the patient’s transfer to another
area of facility
12. Collect history regarding
a)Presence of hypertension
b)Angina
c)Heart failure
d)Palpitations
e)MI
f)Pace maker
g)Dysrhhythmias
h)Nurse should monitor BP,pulse,ECG,of the
patient and collect baseline data
13. 1)Collect the history of previous health
problems like dyspnea
,COPD,hemoptysis,T.B,
2)History of smoking
3)monitor ABG SpO2 and PFT
4)Assess the patient for cyanosis and
clubbing of nail fingers
18. MUSCULOSKELETAL SYSTEM
Mobility and stiffness of body
especially neck and lumbar area
should be assessed as it may affect
the initiation of the anesthesia
19. ENDOCRINE SYSTEM
Assess the patient for presence
of DM type 1&2,thyroid
disorders,adrenal
disorders,pitutary disorders as
these disorders puts the patient
in metabolic alterations
20. IMMUNE SYSTEM
Ask the patient about
occurrence of repeated
infections and use of
immunosuppressive and
corticosteroid drugs
21. NUTRITIONAL STATUS
Assess the nutritional status of patient-
obesity and under nutrition
Assess the dietary habits of patient –
vegetatrian or non vegetarian
22. COMMON PREOPERATIVE
DIAGNOSTIC TESTS
1)BLOOD
TESTS:CBC,hb,glucose,RFT,LFT,Coagulati
on tests,blood grouping and cross
matching,blood tests for
HIV,HCV,electrolyte evaluation.
2)chest x ray
3)ECG
4)Radiological examination
5)ultrasound studies
23.
24. Pre operative care is the preparation and
management of the patient prior to the
surgery
It includes both physical and psychological
preparation
25. PHYSICAL PREPARATION
1)It consists of patients complete medical
history and physical exam
Bowel clearance may be orderedif patient is
having surgery
Some patient may benefit from a sleeping pilll
the night before the surgery
The night before the surgery
-skin preparation is ordered
-
26. PSYCHOLOGICAL PREPARATION
Patients are often fearful and anxious
about having surgery.
The family needs to be included in
psychological preparation .
Pastoral care should be offered.
Procedure may be postponed until the
patient feels more secured
27.
28. INFORMED CONSENT
The patient or guardians informed consent
for surgery is of vital portion for
preoperative care
Physicians who will perform the procedure
must explain the risks and benefits of the
surgery
29. PREOPERATIVE TEACHING
It includes teaching about the surgery and
the post operative period.
The day before the surgery explain the
patient how to prepare
Explain patient must not eat or drink for 8-
12 hrs before the surgery
Ask the patient to bathe in the morning
,remove all the
jewellary,makeup,eyeglasses,dentures etc.
30. Explain the patient how the operating
room and recovery room set up are.
Teach the patient deep breathing and
coughing exercises
Show the patient how to turn on bed,
holding small pillow against the incision to
support it
31. IMMEDIATELY BEFORE SURGERY
Patients should empty the bladder
They should take out false teeth ,hairpins,
takeoff glasses,rings ,nail polishes,lipstick etc
1) wash the skin around the site of incision
and clean it with an antimicrobial
2)usually an intravenous line with saline
solution is started before surgery
3)prepare the family for surgery
32. INTRAOPERATIVE CARE
Intraoperative refers to the time during
surgery
Activities such as patient’s vital signs, blood
oxygenation levels ,fluid therapy, medication
transfusion,aneasthesia,radiography,and
retrieving samples for laboratory tests .
33. SURGICAL TEAM
Intraoperative care is provided by nurses
,anestheologists ,nurse ansthetists,surgical
technicians ,surgeons and residents ,all
working as a team.
1)SURGEON
2)ANESTHETIST
3)SCRUB NURSE
4)CIRCULATING NURSE
34. ANESTHESIA
Anesthesia is a state of narcosis,
used to produce
unconciousness,analgesia,muscle
relaxation and reflexes loss during
surgical procedure
35. TYPES OF ANESTHESIA
There are various forms of anesthesia.
The type of anesthesia depends upon type of
surgery and medical condition
1)General anesthesia
2)Local anesthesia
3)Regional anesthesia
40. LOCAL ANESTHESIA
Local anesthesia is an anesthetic
agent given to temporarily stop the
sense of pain in a particular area of
the body
41. REGIONAL ANESTHESIA
Regional anesthesia is a form of
local anesthesia in which the
anesthesia in which an
anesthetic agent is injected
around nerves so that the area
supplied by these nerves is
anesthetized
43. THE NURSE’S ROLE DURING AND
IMMEDIATELY AFTER SURGERY
Before surgery: check the vitals get
the patient ready for the surgery,
help to prepare the sterile field.
During surgery: nurses open
supplies and pass them out, surgical
asepsis and a sterile field, counting
needles, and gauze swabs used
during the surgery
44. AFTER SURGERY:The patient
usually goes to a recovery room
,check how the patient is and take
care of him
Nurses keep a careful watch on the
patients airway ,breathing rate and
depth and the colour of the mucous
membranes and nail beds.
45. Patient’s wake up from the
anesthesia and get back their
reflexes at different speeds.To help
them wakeup ,the nurse can call
their name and repeatedly tell them
that the surgery Is finished
46. POST OPERATIVE CARE
The post operative care is the management of
a patient after surgery.
THE GOALS OF POSTOPERATIVE CARE ARE:
1)Promoting respiratory function
2)promoting cardiovascular function
3)promoting renal function
4)promoting nutrition and elimination
5)promoting fluid and electrolyte balance
6)promoting wound healing
47. POST OPERATIVE CARE
UNIT(PACU)
Post operative care unit also called post
anesthesia recovery room.
Post anesthesia care unit is divided into two
phases:
Phase 1: it is immediate recovery phase,
requires intensive nursing care.
Phase 2:post anesthesia care is reversal for
patients who require less frequent
observation and less nursing care
48. ADMITTING PATIENT TO PACU
The patient is transferred to the PACU after the
surgical procedure,anesthesia reversal,and
extubation.
transferring the patients is responsibility of
the anesthesiologist .
In PACU anesthetist or nurse reports on the
condition of the patient ,type of surgery
performed ,type of anesthesia
given,estimated blood loss ,input and output
of fluids and liquids.
49. THE FOLLOWING ARE LIST OF
ASSESSMENT CATEGORIES:
1)surgical site
2)patency of drainage tubes
3)body temperature
4)rate of intravenous fluids.
5)circulation in the extremities
6)level of sensation in the regional anesthesia
site
7)pain status
8)nausea and vomiting
50. CARE OF PATIENT IN SURGICAL
PACU
1)assess patients oxygen saturation,pulse
volume and regularity ,skin color and level of
consciousness.
2)respiratory status should be assessed
regularly
3)check surgical site for drainage
4)turn the patient to one side allows the
collected fluid to escape from the side of
mouth
53. CARE OF THE PATIENT AFTER
SURGERY
1) assess patients airway and breathing
2)monitor patients vital signs
3)check the patients bandages and sheets
under the patient’
4)monitor intake and output
5)recheck the flow rate and operation of IV
line every hour
6)monitor the potential complications
54. CARE OF SURGICAL PATIENT FOR
THE EARLY RECOVERY
Control the post operative pains by back rubs
and other comfort measures
Make sure fluid intake is adequate,check any
signs of dehydration like dry mucous
membrane,distended neck veins,sounds or
crackles in lungs.
Check urinary output,low intake of fluids and
continued catheterisation can lead to urinary
infections
55. Turn and exercise the patient ,patient should
be turned every two hours ,they should get up
to walk as soon as possible.
Encourage coughing and deep breathing
exercises very two hours
Provide adequate diet,from fluids to a soft diet
and then to a regular diet.
Check bowel functions,check for the signs of
constipation-abdominal swelling ,pain and no
stool or hard stool.
56. COMPLICATIONS AFTER THE
SURGERY
PNEUMONIA / ATELECTASIS
The signs of pneumonia include fever shortness
of breath,chest pain,cough,bloody or
infected sputum,and decreased breath
sounds
MANAGEMENT:
1)POSITIONING:lateral recovery position is
given
57. Conscious patient: supine position is given and
head of the bed should be elevated
O2 therapy is given as prescribed
Deep breathing exercises and incentive
spirometry should be encouraged
Effective coughing is recommended for
mobilizing secretions
Change of position 2 hourly done.early
ambulation is done
58. HAEMORRHAGE: The signs of hemorrhage
include bloody bandages and bed clothes.The first
sign of hemorrhage is increased breathing. later
signs include weak pulse ,low blood pressure, cold
,clammy ,pale skin, and reduced amount of urine.
MANAGEMENT:
Observe incision site regularly
Monitor vital signs regularly
Monitor hb ,hematocrit values
Assess for any change in mental status
59. URINARY PROBLEMS
The signs of urinary retention are ;the
inability to urinate or urinating in small
amounts ,a stretched bladder ,and
discomfort in the bladder region.
SIGNS OF UTI ARE:
Burning when urinating
A sense of urgency
Pain in the lower abdomen
Cloudy urine and sometimes fever
60. WOUND INFECTION
Caring the wound and helping it heal are the
major responsibilities of the nurse .
Signs of infection include:
Redness, tenderness ,infected discharge, a bad
smell in the wound and fever.
MANAGEMENT:
1)Wash your hands before caring for the wound.
2)Use sterile dressing and sterile techniques if
possible
3)Use sterile instruments to remove the sutures