| Meds | Med admin | Wound Care | Assessment | Pt Education |
|---|---|---|---|---|
|
What is the most commonly used non-opioid analgesic for post-operative pts?
Acetaminophen (Tylenol)
|
What is the most common route to give metoprolol?
PO
|
What is the product we use to cleanse most wounds?
Normal saline (NS)
|
What does CSWM stand for?
Circulation, sensation, movement, warmth
|
What is one of the most important things to ensure a post op hip surgery pt does not dislocate their new joint?
No crossing of legs! While in bed, put a pillow between their legs so they don't subconsciously cross them. If the pt is able to understand, teach them why it is important.
|
|
What medication is commonly used for postoperative nerve pain?
Gabapentin
|
If a patient is ordered to take metformin 750mg PO BID and the dose available is 500mg tablets, how many tablets would the pt need for their 0900 dose?
1.5
|
What does REEDA stand for?
Redness, ecchymosis(bruising), edema, drainage, approximation
|
What are 2 conditions that post operative pts are at risk for?
Infection(to the wound, UTI, pneumonia, etc) and blood clots (either DVT or PE)
Additionally: compartment syndrome, rhabdomyolysis, necrosis |
What is important to assess before putting a pt into a sit/stand lift?
They must be able to weight bear and follow instructions/commands. Must be able to hold onto the machine while it is operating.
|
|
What time is dilaudid PO (IR) at its peak after administration?
30-90 minutes (60min/1hr= best answer)
|
A pt is ordered furosemide 40mg PO BID. What is one of the most important things to do before administering the medication?
Check their BP
|
What are 2 types of passive drains you may see post-operatively?
Hemovac, jackson pratt (JP)
|
What is an incentive spirometer?
A blue plastic device that encourages pts to work on their deep breathing and encourages full lung expansion
|
When mobilizing a post-op pt with a hip or knee surgery, which leg should the pt step with first (surgical or non-surgical)? and why?
Always surgical leg then non surgical leg. This encourages them to put weight on their surgical leg and get its functioning back to normal.
|
|
What are the 2 most common SC (subcutaneous) meds given for DVT(deep vein thrombosis) prophylaxis?
Heparin and tinzaparin
|
What is the difference between heparin and tinzaparin in regards to the duration of effect?
Heparin has a shorter half life and is ordered BID. Tinzaparin is ordered OD.
|
How long do pts usually have their staples/sutures in for?
14 days
|
What does FAST stand for and when might you want to apply it?
When a pt is suspected of having a stroke. Facial drooping, arms, speech, and time.
|
What is the braden scale used for?
Assessing pressure injury risk. Pts often develop a pressure injury post op if they do not get out of bed enough or favour laying to one side. We need to optimize nutrition and get them moving to negate this!
|
|
If you walk into your pt's room and their RR is 8, they are not verbally responsive and their pupils are constricted, what medication might you anticipate giving?
Naloxone
|
What is an important lab result that we must review before administering warfarin?
INR
|
What are some barriers to wound healing?
Diabetes, CHF, not mobilizing, pain, confusion, falls, etc.
|
How would a person with a hip fracture present on assessment?
Affected extremity externally rotated, muscle spasms, shortening of extremity, and pain
|
You have a pt who is receiving IV fluids. You walk into the room, the pt is complaining of pain at the IV site. You assess that it is edematous and red at the IV site. What do you do?
1. Attempt to flush the IV with a NS flush
2. While the flush is going in, see if it is leaking out of the IV underneath the tegaderm dressing or if the edema is increasing 3. If not well tolerated by pt and IV appears to be interstitial, remove it with supervising nurse's approval. 4. Restart new IV if warranted. |
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