STAGE DURATION PHYSICAL REACTIONS NURSING INTERVENTIONS

Anesthetic Drowsiness / Dizziness Close operating room

I. Onset administration to loss of Auditory and visual doors
consciousness hallucinations Keep room quiet
Standby to assist client
Increase in autonomic Remain quiet at client's
Loss of consciousness to activity, Irregular side
II. Excitement
loss of eyelid reflexes breathing, client may
Assist anesthetist if
struggle
necessary
Begin preparation only
Loss eyelid reflexes to Unconsciousness,
when anesthetist indicates
III. Surgical loss of most reflexes and relaxation of muscles,
stage 3 has been reached
Anesthesia depression of vital diminished gag and blink
and client is breathing well
function reflexes
with stable vital signs.
If arrest occurs; assist
immediately in establishing
Depression of vital Client is not breathing, airway, provide cardiac
IV. Danger function to respiratory heartbeat may or may not arrest tray, drugs, syringes,
and circulatory failure be present long needles, assist
surgeon with closed or
open cardiac massage
Distension

 Layers of the skin with diagram

 Types of Suture and sample photo
 Stages of Anesthesia
 Common Types of Anesthesia Meds
 Types and photo of Surgical Sponge
 Post-Operative Complications and its Nursing Responsibilities
 Operating Room Instruments per Anatomical System
 Neurosurgical Instruments / Neurology
 Ophthalmic Instruments / -Ophthalmology
 Otorhinolaryngology Instruments / -Eyes, Ears, Nose (ENT)
 Cardiovascular Thoracic Instruments / -Cardiovascular/Circulatory /
Pulmonary/Respiratory
 Laparoscopic Instrument / -Gastro Intestinal Tract (GIT)
 Genitourinary Instruments/ -Urinary / -Nephrology
 Nephrology / Nephrectomy Surgery Setup
 Obstetrics and Gynecologic Instruments / -Reproductive
 Orthopedic Instruments / -Orthopedics/Skeletal / -Muscular
 Plastic and Reconstructive Instruments / -Integumentary/Skin
 -Endocrine Instruments / Thyroidectomy Surgery Set Up
 Vascular/ Lymphatic Instruments
 Basic Instruments
 General Instruments
 Robotic Instruments
 Oral Instruments
 Surgical Setups

 Neurology
 -Ophthalmology
 -Eyes, Ears, Nose (ENT)
 -Cardiovascular/Circulatory
 -Pulmonary/Respiratory
 -Gastro Intestinal Tract (GIT)
 -Nephrology
 -Reproductive
 -Orthopedics/Skeletal
 -Integumentary/Skin
 -Endocrine
 -Urinary
 -Muscular
 -Vascular/Lymphatic