Lact one

(WHO) defines health:as a “state of complete B-Review the client’s history & preparation for surgery:
physical, mental & social well-being & not merely the 1. History of present illness& reason for surgery.
absence of disease & infirmity. 2. Past medical history.
3. Previous hospitalization & surgeries.
The patient’s basic needs 4. Allergies.
A-Physical needs: 5. Present medications.
6. Tobacco.
Ventilation Elimination of complaints
Fluids and discomfort C-Review preoperative laboratory & diagnostic studies:
Nutrition Maintaining all vital signs 1. Complete blood count.
Air conditioning properly 2. Blood type & cross match.
3. Urinalysis.
B-Mental and Psychological needs: 4. Chest X rays.
Continuous evaluations of the state of 5. ECG.
consciousness of the patient Preoperative preparation
Evaluation of psychological state of patient
Dealing with patient with EMPATHY 1-Physical preparation
C- Social needs: A-Skin preparation
Helping the patient to continue his/her social status B-Elimination
C-Enemas
D-Food & fluids
Health history:
2-Psychosocial preparation
Content of the health history: (Careful listening & explanations by the nurse
as to what will happen & what to expect can
1. Biographical data.
help allay some of these fears & anxieties.)
2. Chief complaint.
psychiatric
3. history of present illness
4. Family history. childhood illnesses
obstetric/ gynecologic 3-Care of valuables:
5. Past history. medical
4-Attire & grooming:
6. Review of other systems. . surgical

5-Preoperative medications:
Physical examination
Intraoperative Care
The basic tools of the physical examination are vision,
hearing, touch, & rhythm.
1-The patient

The four fundamental techniques used in 2-The anesthesiologist

the physical examination are The surgical team consists of the

1-Inspection 2-Auscultation 3-The surgeon

3-Palpation 4- percussion 4-Surgical assistants

Preoperative care
street clothes are allowed

0
Begins with the decision to perform surgery & continues
unrestricted zone
until the client has reached the operating area.
attire consists of scrub clothes
semi-restricted zone
What is Preoperative assessment ? & caps

restricted zone
A-Assess physical needs:
-Vital signs.
-Drowsiness. surgical
-Ability to move. zone
-Circulatory status. scrub clothes, shoe
covers, caps, & masks
are worn. .