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Pre-op Test

Enter the letter for the matching Answer
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1.
Volume Expanders
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2.
Anticipatory Grieving
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3.
Aspartate aminotransferase (AST)
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4.
Tranquilizers (includes minor tranqs: benzodiazepines such as diazepam [Valium] and sedative/hypnotics, such as flurazepam [Dalmane] & temazepam [Restoril])
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5.
Alanine aminotransferase (ALT)
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6.
Diuretics (Hydrochlorothiazide or HCTZ [HydroDIURIL])
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7.
Avoid hypertonic solutions for which conditions?
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8.
Phenothiazines (Chlorpromazine [Thorazine])
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9.
Thyroid hormones (Levothryoxine sodium [Synthroid, Levothyroid])
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10.
MOA for hypotonic solutions is?
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11.
MOA for hypertonic solutions is what?
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12.
Anticoagulants (Warfarin [Coumadin], Aspirin)
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13.
Sedative/Hypnotics, Benzodiazepines MOA
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14.
Anxiety
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15.
Avoid hypotonic solutions for which conditions?
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16.
What is hCG
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17.
Anticholinergics AE
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18.
Atropine (atropine sulfate):
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19.
PT/INR
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20.
What does hCG indicate?
A.
used to provide free water, treat cellular dehydration
B.
May precipitate hemorrhage.
C.
IM, IV, subcut, PO: 0.4-0.6 mg given 30-60 min pre-op: Anticholinergics
D.
IV administration may be necessary postoperatively to prevent thyrotoxicosis.
E.
Side effects: nausea, facial rash, flushing, blurred vision, dilated pupils, urinary retention, elevated pulse, orthostatic hypotension,
F.
Pull fluid from the cells (intracellular space, puts it in vascular space, expanding vascular volume)
G.
pts at risk for ICP (CVA, head trauma, neurosugergery) or third space fluid shift (burns trauma, low serum protein: malnutrition, liver disease)
H.
May increase the hypotensive effect of the anesthetic agent, thus contributing to shock.
I.
pts with kidney and heart disease.
J.
>5 IU/L indicates positive pregnancy test.
K.
May cause electrolyte imbalances resulting in respiratory depression from the anesthesia.
L.
Decreases anxiety, provides sedation/amnesia for the surgery or diagnostic test
M.
identify and limit, discontinue, or be aware of the use of any stimulants such as caffeine, nicotine, theyophylline, terbutaline…….negative effects of caffeine on anxiety this shift.Provide backrub PRN anxiety. (Relaxation techniques…guided imagery)
N.
Prothrombin time/international normalized ratioPT: 10 13 secINR 2.0-3.0
O.
DextranComposed of chains of sugar moleculesPlasmaA blood componentAlbuminA blood proteinHetastarch & PentastarchComposed of large molecules made up of smaller sugar molecules – hold water in the vessels
P.
Male: 15-40 U/LFemale: 13-35 U/L
Q.
Males: 10-40 U/LFemales: 7-35 U/L
R.
Human chorionic gonadtropin
S.
IV infusion may be required to guard against seizure activity during surgery
T.
Use open-ended questions to allow for patient expression of grief,Refer patient and family to spiritual counseling
Type the Answer that corresponds to the displayed Question.
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21.
Pre-op blood glucose range is
Type the Question that corresponds to the displayed Answer.
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22.
Organize/schedule procedures prior to 2100.Limit nighttime fluids to prevent voiding.Limit intake of caffeinated drinks after 1400.
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23.
Informed consent should be placed in designated area of chartEnsure pre-op checklist is completed and on chart; All pre-op care, including assessments, interventions, evaluationsMedications; Do not forget patient education
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24.
PO, IM, IVUsual dose IV: 1 mg initially, titrated to patient’s sedation required, total dosage > 4 mg rare; PO 5-10 mg: Sedative/Hypnotics, Benzodiazepines
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25.
IV infusion may be required to guard against seizure activity during surgery
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26.
May be infused as a drip during surgery to offset effects of anesthesia on this drug
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27.
Reduce salivation and respiratory secretions thus preventing aspiration during surgery, prevent bradycardia
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28.
Use verbal/nonverbal therapeutic communication techniques.Encourage to identify stressors.Encourage to identify areas of personal strength
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29.
PO, IM, IV, PR Usual dose 2 – 20 mg: Sedative/Hypnotics, Benzodiazepines
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30.
Dextrose 5% in 0.9% Sodium Chloride (D5NS)Dextrose 5% in 0.45% Sodium Chloride (D5½NS)Dextrose 5% in Lactated Ringer’s (D5LR)Dextrose 10% in Water (D10W)

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