‫بسم هللا الرحمن الرحيم‬

‫كلية الروضة للمهن الصحية‬

‫قسم التمريض‬
‫اساسيات ‪2‬‬
‫‪2019\ 2018‬‬

‫‪Pre-OP-Nursing care‬‬
‫‪Prepared by:‬‬

‫‪Mr. Abed Al-Raheem Ahmad Al-Baz‬‬

‫‪5- 4-2020‬‬
 Types of anesthesia:
1.General anesthesia:
General anesthesia (GA)
1.General anesthesia (GA) is the state produced when a patient
receives medications for amnesia, analgesia, muscle paralysis, and
sedation. An anesthetized patient can be thought of as being in a
controlled, reversible state of unconsciousness. Anesthesia enables a
patient to tolerate surgical procedures that would otherwise inflict
unbearable pain, potentiate extreme physiologic exacerbations, and
result in unpleasant memories.
• General anesthesia is administered I.V, inhalation by mask or by ET
(endotracheal tube) into trachea. (pentothal)
Low Temp In Pediatric Post Op
Regional anesthesia
• Regional anesthesia is the use of local anesthetics to block sensations
of pain from a large area of the body, such as an arm or leg or
the abdomen. Regional anesthesia allows a procedure to be done on
a region of the body without your being unconscious.
Major types of regional anesthesia include:
• Peripheral nerve blocks. A local anesthetic is injected near a specific
nerve or bundle of nerves to block sensations of pain from the area of
the body supplied by the nerve. Nerve blocks are most commonly
used for surgery on the arms and hands, the legs and feet, the groin,
or the face.
Epidural and spinal anesthesia. A local anesthetic is injected near the spinal cord and major nerves that
enter the spinal cord to block sensations of pain from an entire region of the body, such as the lower
abdomen, the hips, or the legs.
Patient Admission to word
Prior coordination: (‫)التنسيق المسبق‬
• ER
• Word
• OP
• Available places Male Or female.
• Places are ready to Use (O2 …etc.).
• Nurse are ready for Patient Admission to word .
Bed ready for patient
patient transfer wheelchair
patient transfer board

patient transfer strucer

Receiving and contact details
Nurse To Nurse

‫•االستالم والتسليم‬
 Nursing History

• C/O
• DX
• P.M.Hx
• P.S.Hx
• Drug
• Allergy
Patient safety
Explain use of the Equipment around
patient
Types of surgery
Elective: planned weeks or months ahead.
Emergency: to preserve client’s life
 Prior coordination: (‫)التنسيق المسبق‬
• ER – OPT - Home
Operation Consent Form
• To any surgery, clients must sign
consent form protect client and
hospital.
• By Dr/nurse (according to policy )

• c\o …..
• ‫الشهود‬
• ‫اذا كان طفل ولي االمر‬
operation
consent form
• CABG…
• Majored operation.
Pre-op cheek list
Nursing care for the operative client
HTN
Nursing history for detecting any health problems
that increase surgical risk:
• Smoking.
• Alcohol
• Cardiac disease: angina, hypertension, congestive heart failure.
• Blood coagulation disorder.
• Neurological disease: epilepsy.
• Renal disease.
• Chronic obstructive lung disease.
• Urine analysis: detect urinary tract infections and glucose in urine.
• Chest x-ray.
• CBC: Hb, Hct, RBC, WBC, glucose level
• Electrocardiograph ECG: heart function
• Serum electrolyte: Na, K, Ca, fluid imbalance.
• Fasting blood sugar.
• Blood urea nitrogen: BUN, to assess urinary excretion.
• MRI
• CT-SCAN
• ECHO
• U/S
• X-RAY
• Other investigation
•Clip hair close to the wound, if necessary.
Shaving of hair is not necessary, and may
increase the chance of wound infection.
• https://www.cdc.gov/disasters/emergwoundhcp.html
• https://www.cdc.gov/disasters/disease/tetanus.html
 Valuable prostheses: jewelry, money,
wedding band denture, (cause edema)
Medication: preoperative med. As narcotics (morphin) to relax pt, and others as atropine to fry
secretion to avoided aspiration. On call
Special orders: insertion of nasogastric tube, catheters antiemboile stockings.
Fleet Enema
Turning:
Passive exercise
Receiving and contact details
Nurse To Nurse
WORD TO OP BY NURSE
‫•االستالم والتسليم‬
‫• أعضاء او أجزاء من المريض‬
Post Anesthesia Care Unit (PACU)
• Available places Male Or female.
• Places are ready to Use (O2 …etc.).
• Nurse are ready for Patient post-op to word .
• Pt need ICU CCU PICU SICU NICU
Receiving and contact details
Nurse To Nurse

‫•االستالم والتسليم‬
‫• أعضاء او أجزاء من المريض‬
• ABC
• Pt safety side rills ,
• the appropriate position
• V\S
• OBS site of op , drains ,
• Close monitor
• DR ORDER FOLLUP
• IVF
• RX
•
Procedure for Post-Operative Patient Care
Potential post-op- Health problems
• Pneumonia infection of aveoli, manifested by increase T, chest pain,
dyspnea, blood-tinged sputum.
• A telecasts: collapse of alvoli due to mucous inadequate liung
expansion, immobility.
• Pulmonary embolism: blood clot move to lung and obstruct artery
inhibite blood flow sudden chest pain, cyanosis
• Hemorrhage: Low BP, cold skin , High HR
• Thrombophlebitis: inflammation of the viens, usually legs, associated with
blood clot due to slow blood flow, trauma to vien lead to in flam and bld
coagulability area is swollen, red hot. Discomfort in calf (Homan’s sign)
note embolus is amovable clot, white thrombus is bld clot attached to wall
of vien
• Constipation: no stool passage due to decrease dietary roughage,
analgesics intestinal motility
• Urinary retention: accumulation of urine in bladder and inability of
bladder to empty due to decrease muscle tone from narctio fluid intake
larger than output, bladder disten, discom fort.
Urinary infection: inflamotion of bladder due to immobilization, fluid •
intake burning sensation when void, cloudy urine, lower abdominal pain.
Teaching post-op
•Moving
•Pain
•Wound care
•DC plan & Education