Chapter 17, 18, and 19: Periop

All information is taken from: Harding, M. M., Kwong, J., Roberts, D., Hagler, D. and
Reinisch, C. (2020). Lewis’s medical surgical nursing: Assessment and management of
clinical problems (11th ed.). St. Louis, MO: Mosby.
Additional information may be found for medications through your pharmacology resources
and laboratory and diagnostic test resource.

Chapter 17

When preparing a patient for surgery, it is imperative to check their laboratory values.
Fill in the normal ranges for the following lab values.

Laboratory Name Normal Value

Hemoglobin (Hgb)
Hematocrit (Hct)
White Blood Cell Count (WBC)
Potassium (K+)
Platelets
Sodium (Na)

Review the reasons why patients have surgery and collection of subjective and objective data.

Who is responsible for obtaining informed consent?

Chapter 18

Review the physical environment, the surgical team, and patient information before surgery.

There are multiple safety considerations. A surgical time-out has been included.

What information should be included in the surgical time out?

Review information on anesthesia, anaphylactic reaction and malignant hypothermia.

Chapter 19

Review respiratory problems.

What are some nursing interventions to promote breathing and prevent respiratory
problems?
Look at the table discussing drug therapy and other resources and fill out the following
table:

Drug Action Reason for use Adverse Nursing

Classification or in Pre, Peri or Effects Interventions
Name Post Op (include
medication for
overdose)
Opioids
Name a few
common ones:

Benzodiazepine
s
Name a few
common ones:

Neuromuscular
Blocking Agents
Name a few
common ones:

Antiemetics
Name a few
common ones:

Antibiotics
Name a few
common ones:

Anticholinergics
Name a few
common ones: