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Perioperative Nursing

Perioperative Nursing

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Published by: Edison Olad Dangkeo, RN,RM on Oct 25, 2009
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03/16/2013

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 PERIOPERATIVE NURSING 
Perioperative Nursing Practice-
includes those activities performed by the registered nurseduring the preoperative, intraoperative and postoperative phase of the patients surgicalexperience. It encompasses the patient’s total experience when surgical intervention is acceptedas the treatment of choice.
Perioperative-
refers to events during the entire surgical period, from preparation for surgery torecovery from the temporary effects of surgery and anesthesia. This period is divided intopreoperative, intraoperative and postoperative phases.
Preoperative phase-
starts when the patient is admitted to the surgical floor and prepare himphysically, psychologically, spiritually and legally for the surgical procedure until he is transportedto the operating room.
Intraoperative phase-
is when the patient is transferred to the operating room where he isanesthetized and undergoes the scheduled surgical procedure.
Postoperative phase-
is the time during which the patient is transferred to the recoveryroom/post anesthesia unit where the nurse assist and observes the patient as he recovers fromanesthesia and from the stress of surgery itself; to the time he is transferred back to the surgicalfloor, discharged from the hospital until the follow-up care.
ESTIMATION OF SURGICAL RISKS 
General Risks factors:
Obesity
Fluid and Electrolyte and Nutritional problems
Presence of diseases
Concurrent or prior pharmacotherapy
Edison O. Dangkeo, RNPage
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Other factors:
Nature of condition
Location of the condition
Magnitude and urgency of the surgical procedure
Mental attitude of the person toward surgery
Caliber of the professional staff and health care facilities
The effects of surgery upon the patient:
Stress response is elicited.
Defense against infection is lowered.
Vascular system is disrupted.
Organ functions are disturbed.
Body image may be disturbed.
Lifestyle might change.
GENERAL CONSIDERATIONS:a)Basic Types of Pathologic Conditions Requiring Surgery
Obstruction
Perforation
Erosion
Tumors
b)Major Categories of Surgical Procedures (according to:)1)Purpose
Diagnostic
Curative
Ablative
Constructive
Reconstructive
Palliative
Edison O. Dangkeo, RNPage
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2)Degree of Risk
Major Surgery
Minor Surgery
3)Urgency
Emergency – to be done immediately in order to;
save the life of the patient
save the function of an organ or limb
removed a damaged organ or limb as necessary
stop hemorrhage
Imperative or Urgent
Planned Required
Elective
Optional
Day (ambulatory surgery)
Edison O. Dangkeo, RNPage
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